Wittenberg, Alan L.

Wittenberg, Alan L. is an sole proprietor health care provider with primary practice located at 17929 Euclid Ave , Cleveland OH 44112-1221. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Wittenberg, Alan L. can be contacted via phone (216) 481-1890.

Contact Information

Primary practice address
17929 Euclid Ave Cleveland OH 44112-1221
Phone: (216) 481-1890
Fax: (216) 481-1892
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X PO815 Florida
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 36.001518 Ohio

Profile Details

NPI number 1588649826
LBN Legal business name Wittenberg, Alan L.
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 9th, 2005
Last updated Nov 15th, 2012 - about 14 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 1588649826 NPPES
Ohio MEDICAID 0150492

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