Wittenkeller, Jay L

Wittenkeller, Jay L is an individual health care provider with primary practice located at 910 W 5Th Ave Suite 700, Spokane WA 99204-2966. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Wittenkeller, Jay L can be contacted via phone (509) 838-2531.

Contact Information

Primary practice address
910 W 5Th Ave Suite 700 Spokane WA 99204-2966
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X MD00033837 Washington

Profile Details

NPI number 1487647566
LBN Legal business name Wittenkeller, Jay L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 24th, 2005
Last updated Dec 15th, 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 1487647566 NPPES
Washington MEDICAID 8192734

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