Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223G0001X | General Practice | DS019146L | PA |
Y | 213EG0000X | General Practice | DS019146L | PA |
NPI | 1003850942 |
---|---|
Provider Name | William Herbert Hitt |
First Address | Scranton, PA 18509-1913 |
Second Address | Scranton, PA 18509-3023 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/06/2006 |
Last Update Date | 08/07/2007 |