Witkowski, John

Witkowski, John is an individual health care provider with primary practice located at 1020 Forest Ave , Portland ME 04103-3333. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Witkowski, John can be contacted via phone (207) 797-4815.

Contact Information

Primary practice address
1020 Forest Ave Portland ME 04103-3333
Phone: (207) 797-4815
Fax: (207) 797-4813
Website:
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Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 525 Maine

Profile Details

NPI number 1699760082
LBN Legal business name Witkowski, John
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 13th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699760082 NPPES
Maine MEDICAID 1169300000
Maine Other 000703

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