Witkower, Alan B
Witkower, Alan B is an individual health care provider with primary practice located at 101 Main St Ste 101, Medford MA 02155-4540. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Witkower, Alan B can be contacted via phone (781) 391-7518.Contact Information
Primary practice address
101 Main St Ste 101
Medford MA 02155-4540
Phone: (781) 391-7518
Fax: (781) 391-1030
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 3000 | Massachusetts |
Profile Details
| NPI number | 1457342008 |
|---|---|
| LBN Legal business name | Witkower, Alan B |
| Credentials | EDD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 2nd, 2005 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1457342008 | NPPES |
| Massachusetts | MEDICAID | 0511714 |
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