Witte, Wayne Edward
Witte, Wayne Edward is an individual health care provider with primary practice located at 224 N 76 St , Milwaukee WI 53213-3554. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Witte, Wayne Edward can be contacted via phone (414) 476-6750.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 4001655015 | Wisconsin |
Profile Details
| NPI number | 1750443347 |
|---|---|
| LBN Legal business name | Witte, Wayne Edward |
| Credentials | DDS MS |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 14th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1750443347 | NPPES |
| Wisconsin | MEDICAID | 33532400 |
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