Witten, Frederick R

Witten, Frederick R is an individual health care provider with primary practice located at 101 Hospital Blvd , Jeffersonville IN 47130-3769. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Witten, Frederick R can be contacted via phone (812) 282-3899.

Contact Information

Primary practice address
101 Hospital Blvd Jeffersonville IN 47130-3769
Fax: (812) 282-4172
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 01040421A Indiana
Allopathic & Osteopathic Physicians / Urology 208800000X 23489 Kentucky

Profile Details

NPI number 1588657654
LBN Legal business name Witten, Frederick R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 24th, 2005
Last updated Sep 25th, 2017 - about 7 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 1588657654 NPPES
Kentucky MEDICAID 64234891
Kentucky MEDICAID 201011460
Kentucky Other P00304320
Kentucky Other P00895255

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