Witte, Mary Kay
Witte, Mary Kay is an sole proprietor health care provider with primary practice located at 1471 29Th Ln , Pueblo CO 81006-9649. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as her primary health care specialty. Witte, Mary Kay can be contacted via phone (719) 948-4609.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Audiologist | 231H00000X | 7169 | Colorado |
Profile Details
| NPI number | 1497966154 |
|---|---|
| LBN Legal business name | Witte, Mary Kay |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 24th, 2007 |
| Last updated | Jul 9th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1497966154 | NPPES |
| Colorado | MEDICAID | 13783840 |
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