Witten, Charles N

Witten, Charles N is an individual health care provider with primary practice located at 4106 W Lake Mary Blvd Ste 215 , Lake Mary FL 32746-3344. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Witten, Charles N can be contacted via phone (407) 332-7700.

Contact Information

Primary practice address
4106 W Lake Mary Blvd Ste 215 Lake Mary FL 32746-3344
Phone: (407) 332-7700
Fax: (321) 275-0339
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X ME0057403 Florida

Profile Details

NPI number 1376518431
LBN Legal business name Witten, Charles N
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 22nd, 2006
Last updated Mar 17th, 2018 - about 6 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 1376518431 NPPES
Florida Other 10292 BCBS
Florida MEDICAID 063246500 BCBS
Florida Other 340003010 BCBS

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