Witte, Richard Allen
Witte, Richard Allen is an individual health care provider with primary practice located at 444 S Union St , Burlington VT 05401-4859. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Witte, Richard Allen can be contacted via phone (802) 658-2455.Contact Information
Primary practice address
444 S Union St
Burlington VT 05401-4859
Phone: (802) 658-2455
Fax: (802) 658-2455
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | VT644 | Vermont |
Profile Details
| NPI number | 1598781247 |
|---|---|
| LBN Legal business name | Witte, Richard Allen |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 14th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1598781247 | NPPES |
| Vermont | MEDICAID | 105560 | |
| Vermont | Other | 28855 |
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