Witzel, Bryon J

Witzel, Bryon J is an individual health care provider with primary practice located at 621 S New Ballas Rd Suite 3005B, Saint Louis MO 63141-8232. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Allopathic & Osteopathic Physicians / Emergency Medicine. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Witzel, Bryon J can be contacted via phone (314) 251-7070.

Contact Information

Primary practice address
621 S New Ballas Rd Suite 3005B Saint Louis MO 63141-8232
Phone: (314) 251-7070
Fax: (314) 251-7071
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 2006034878 Missouri
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 085-002185 Illinois

Profile Details

NPI number 1528065844
LBN Legal business name Witzel, Bryon J
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 1st, 2005
Last updated Mar 3rd, 2015 - about 10 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 1528065844 NPPES
Illinois Other P00174465 MEDICARE RAILROAD
Illinois Other P00651238 MEDICARE RAILROAD

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