Hittenberger, Drew

Hittenberger, Drew is an sole proprietor health care provider with primary practice located at 181 Lynch Creek Way Ste 101 , Petaluma CA 94954-2380. He recently has 2 registered licenses in different health care specialties including Suppliers / Customized Equipment, Suppliers / Prosthetic/Orthotic Supplier. Suppliers / Prosthetic/Orthotic Supplier is his primary health care specialty. Hittenberger, Drew can be contacted via phone (707) 765-1122.

Contact Information

Primary practice address
181 Lynch Creek Way Ste 101 Petaluma CA 94954-2380
Phone: (707) 765-1122
Fax: (707) 765-4571
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Customized Equipment 332BC3200X
Suppliers / Prosthetic/Orthotic Supplier 335E00000X CP 1093 Delaware

Profile Details

NPI number 1952467557
LBN Legal business name Hittenberger, Drew
Credentials C.P.,BOCO
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 28th, 2006
Last updated Nov 4th, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1952467557 NPPES
California MEDICAID GXC000120

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