Wittwer, Matthew David
Wittwer, Matthew David is an individual health care provider with primary practice located at 477181 Highway 95 Ste B , Ponderay ID 83852-5009. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Wittwer, Matthew David can be contacted via phone (208) 597-4033.Contact Information
Primary practice address
477181 Highway 95 Ste B
Ponderay ID 83852-5009
Phone: (208) 597-4033
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 34674 | California |
| Chiropractic Providers / Chiropractor | 111N00000X | CHIA-2152 | Idaho |
Profile Details
| NPI number | 1184268864 |
|---|---|
| LBN Legal business name | Wittwer, Matthew David |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 5th, 2019 |
| Last updated | Jun 9th, 2022 - about 3 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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