Bittle, Juanita J.

Bittle, Juanita J. is an individual health care provider with primary practice located at 537 S Freeborn St , Marion KS 66861-1256. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Bittle, Juanita J. can be contacted via phone (620) 382-2033.

Contact Information

Primary practice address
537 S Freeborn St Marion KS 66861-1256
Phone: (620) 382-2033
Fax: (877) 409-1174
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 15-00415 Kansas

Profile Details

NPI number 1144221656
LBN Legal business name Bittle, Juanita J.
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2005
Last updated Oct 17th, 2023 - about 2 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 1144221656 NPPES
Kansas MEDICAID 100406940C

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