Witryol, Walter

Witryol, Walter is an individual health care provider with primary practice located at 29 Haynes St Ste D , Manchester CT 06040-4139. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM, Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation. Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation is his primary health care specialty. Witryol, Walter can be contacted via phone (860) 646-1222.

Contact Information

Primary practice address
29 Haynes St Ste D Manchester CT 06040-4139
Phone: (860) 646-1222
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM 204D00000X L8232 Texas
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X D68048 Maryland

Profile Details

NPI number 1861464505
LBN Legal business name Witryol, Walter
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 6th, 2006
Last updated Jun 18th, 2019 - about 7 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 1861464505 NPPES
Texas MEDICAID 164844601

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