Witte, Marie Loretta
Witte, Marie Loretta is an individual health care provider with primary practice located at 101 E Wood St Suite 401, Spartanburg SC 29303-3040. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is her primary health care specialty. Witte, Marie Loretta can be contacted via phone (864) 560-6654.Contact Information
Primary practice address
101 E Wood St Suite 401
Spartanburg SC 29303-3040
Phone: (864) 560-6654
Fax: (864) 560-6017
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 46432 | Minnesota |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 34635 | South Carolina |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 34635 | South Carolina |
Profile Details
| NPI number | 1306829890 |
|---|---|
| LBN Legal business name | Witte, Marie Loretta |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 29th, 2005 |
| Last updated | Mar 10th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1306829890 | NPPES |
| South Carolina | MEDICAID | 346352 | |
| South Carolina | MEDICAID | 5922248 | |
| South Carolina | MEDICAID | 766159200 | |
| South Carolina | MEDICAID | 34518500 |
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