Wittenberg, Craig A.

Wittenberg, Craig A. is an individual health care provider with primary practice located at 405 Monroe St , Pella IA 50219-1189. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Wittenberg, Craig A. can be contacted via phone (641) 621-2200.

Contact Information

Primary practice address
405 Monroe St Pella IA 50219-1189
Phone: (641) 621-2200
Fax: (641) 621-2335
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 30144 Iowa

Profile Details

NPI number 1285602920
LBN Legal business name Wittenberg, Craig A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 9th, 2006
Last updated Aug 30th, 2022 - about 2 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 1285602920 NPPES
Iowa Other 080098974 RAILROAD MEDICARE
Iowa MEDICAID 2120105 RAILROAD MEDICARE

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