Wittenauer, Timothy James

Wittenauer, Timothy James is an individual health care provider with primary practice located at 108 Walton Park Ln , Midlothian VA 23114-3028. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Wittenauer, Timothy James can be contacted via phone (804) 560-9575.

Contact Information

Primary practice address
108 Walton Park Ln Midlothian VA 23114-3028
Phone: (804) 560-9575
Fax: (804) 560-9557
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 2305004636 Virginia

Profile Details

NPI number 1417933953
LBN Legal business name Wittenauer, Timothy James
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 16th, 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 1417933953 NPPES
Other 4454125 AETNA
Other 114481 AETNA
Other 1985263 AETNA

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