Witzke, Tammy Gayle
Witzke, Tammy Gayle is an individual health care provider with primary practice located at 1104 Healthway Dr , Salisbury MD 21804-4469. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Witzke, Tammy Gayle can be contacted via phone (410) 219-5483.Contact Information
Primary practice address
1104 Healthway Dr
Salisbury MD 21804-4469
Phone: (410) 219-5483
Fax: (410) 219-5486
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | LC10843 | Maryland |
Profile Details
| NPI number | 1407330087 |
|---|---|
| LBN Legal business name | Witzke, Tammy Gayle |
| Credentials | LCPC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 20th, 2018 |
| Last updated | Sep 24th, 2020 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1407330087 | NPPES |
| Maryland | MEDICAID | 119591300 |
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