Witte, Nicole M

Witte, Nicole M is an individual health care provider with primary practice located at 2900 Foxfield Rd Suite 306, St Charles IL 60174-5799. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Witte, Nicole M can be contacted via phone (630) 845-2500.

Contact Information

Primary practice address
2900 Foxfield Rd Suite 306 St Charles IL 60174-5799
Phone: (630) 845-2500
Fax: (630) 845-9928
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 036111855 Illinois

Profile Details

NPI number 1215936729
LBN Legal business name Witte, Nicole M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2005
Last updated Jul 9th, 2008 - about 16 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 1215936729 NPPES
Illinois Other 04532211 BLUE CROSS BLUE SHIELD GROUP NUMBER
Illinois MEDICAID 036111855 BLUE CROSS BLUE SHIELD GROUP NUMBER

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