Witcraft, Chauncey B

Witcraft, Chauncey B is an individual health care provider with primary practice located at 310 2Nd Ave Sw, Ste 105 , Miami OK 74354. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Witcraft, Chauncey B can be contacted via phone (918) 542-2812.

Contact Information

Primary practice address
310 2Nd Ave Sw, Ste 105 Miami OK 74354
Phone: (918) 542-2812
Fax: (918) 542-2814
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 13131 Oklahoma

Profile Details

NPI number 1730116633
LBN Legal business name Witcraft, Chauncey B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2006
Last updated Oct 4th, 2007 - about 18 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 1730116633 NPPES
Oklahoma Other 363287549002 BLUE CROSS BLUE SHIELD-OK

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