Wittchow, William Allen

Wittchow, William Allen is an individual health care provider with primary practice located at 6341 University Ave Ne , Fridley MN 55432-4946. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Wittchow, William Allen can be contacted via phone (763) 572-5710.

Contact Information

Primary practice address
6341 University Ave Ne Fridley MN 55432-4946
Phone: (763) 572-5710
Fax: (763) 586-5888
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 9684 Minnesota

Profile Details

NPI number 1124128525
LBN Legal business name Wittchow, William Allen
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 25th, 2006
Last updated Jul 9th, 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 1124128525 NPPES
Minnesota Other 1029890 PREFERRED ONE
Minnesota Other 6605097 PREFERRED ONE
Minnesota Other 251J4WI PREFERRED ONE
Minnesota Other HP33986 PREFERRED ONE
Minnesota Other 104929 PREFERRED ONE
Minnesota Other 25878 PREFERRED ONE
Minnesota Other 0110259 PREFERRED ONE

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