Witkovsky, Michael T
Witkovsky, Michael T is an individual health care provider with primary practice located at 301 Troy Dr , Madison WI 53704-1521. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry. Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry is his primary health care specialty. Witkovsky, Michael T can be contacted via phone (608) 301-1075.Contact Information
Primary practice address
301 Troy Dr
Madison WI 53704-1521
Phone: (608) 301-1075
Fax: (608) 226-5429
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 32400 | Wisconsin |
| Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry | 2084P0804X | 32400 | Wisconsin |
Profile Details
| NPI number | 1629044797 |
|---|---|
| LBN Legal business name | Witkovsky, Michael T |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 27th, 2006 |
| Last updated | Oct 24th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1629044797 | NPPES |
| Wisconsin | MEDICAID | 31769600 |
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