Witmer, Bruce Evan

Witmer, Bruce Evan is an individual health care provider with primary practice located at 6255 Sharlands Ave , Reno NV 89523-2882. He recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as his primary health care specialty. Witmer, Bruce Evan can be contacted via phone (775) 248-1267.

Contact Information

Primary practice address
6255 Sharlands Ave Reno NV 89523-2882
Phone: (775) 248-1267
Fax: (775) 305-1267
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 8283 Nevada

Profile Details

NPI number 1639150022
LBN Legal business name Witmer, Bruce Evan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 11th, 2005
Last updated Jul 16th, 2021 - about 4 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 1639150022 NPPES
Other 11191170 CAQH
Other XPY194499 CAQH
MEDICAID 20-16215 CAQH

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