Wittman, Rex L.

Wittman, Rex L. is an individual health care provider with primary practice located at 215 S Pine St Suite 201, Newton KS 67114-3765. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Surgical is his primary health care specialty. Wittman, Rex L. can be contacted via phone (316) 283-9977.

Contact Information

Primary practice address
215 S Pine St Suite 201 Newton KS 67114-3765
Phone: (316) 283-9977
Fax: (316) 283-0966
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 15-00326 Kansas
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 15-00326 Kansas

Profile Details

NPI number 1699731034
LBN Legal business name Wittman, Rex L.
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 25th, 2006
Last updated Jan 14th, 2013 - about 13 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 1699731034 NPPES
Kansas Other 111178028 PTAN
Kansas Other 970012263 PTAN
Kansas Other 042442 PTAN
Kansas Other 042442 PTAN
Kansas MEDICAID 100287500C PTAN

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