Wittow, Jada

Wittow, Jada is an individual health care provider with primary practice located at 1841 Madora Ave , Douglas WY 82633-3057. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Wittow, Jada can be contacted via phone (307) 358-2846.

Contact Information

Primary practice address
1841 Madora Ave Douglas WY 82633-3057
Phone: (307) 358-2846
Fax: (307) 358-5329
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X Washington

Profile Details

NPI number 1114343910
LBN Legal business name Wittow, Jada
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 17th, 2014
Last updated Mar 17th, 2014 - about 11 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1114343910 NPPES
Wyoming MEDICAID 1225003023

Popular Providers