Wittenauer, James Albert

Wittenauer, James Albert is an individual health care provider with primary practice located at 103 E Jackson St , Pinckneyville IL 62274-1141. He recently has only one registered license in Chiropractic Providers / Internist, which is considered as his primary health care specialty. Wittenauer, James Albert can be contacted via phone (618) 357-5012.

Contact Information

Primary practice address
103 E Jackson St Pinckneyville IL 62274-1141
Phone: (618) 357-5012
Fax: (618) 357-9034
Website:
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Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Internist 111NI0900X 038-007782 Illinois

Profile Details

NPI number 1093826802
LBN Legal business name Wittenauer, James Albert
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2006
Last updated May 20th, 2008 - about 16 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 1093826802 NPPES
Illinois MEDICAID 038007782

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