Witty, Robert Ray

Witty, Robert Ray is an sole proprietor health care provider with primary practice located at 12810 Heacock St Suite B-206, Moreno Valley CA 92553-2854. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Witty, Robert Ray can be contacted via phone (951) 485-5155.

Contact Information

Primary practice address
12810 Heacock St Suite B-206 Moreno Valley CA 92553-2854
Phone: (951) 485-5155
Fax: (951) 485-5152
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA 12064 California

Profile Details

NPI number 1548326028
LBN Legal business name Witty, Robert Ray
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 28th, 2006
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.

Request for update

Popular Providers