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
Fax: (802) 658-2455
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1598781247 NPPES
Vermont MEDICAID 105560
Vermont Other 28855

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