Witt, Michelle

Witt, Michelle is an individual health care provider with primary practice located at 8717 Dimond D Cir , Anchorage AK 99515-1931. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Witt, Michelle can be contacted via phone (907) 771-0536.

Contact Information

Primary practice address
8717 Dimond D Cir Anchorage AK 99515-1931
Fax: (907) 771-0537
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 664 Alaska

Profile Details

NPI number 1417217290
LBN Legal business name Witt, Michelle
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 25th, 2012
Last updated Apr 21st, 2014 - about 12 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 1417217290 NPPES
Alaska MEDICAID 1021093

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