Witter, Theodore Oswald
Witter, Theodore Oswald is an individual health care provider with primary practice located at 17 Sylvan St Ste 201 , Rutherford NJ 07070-2069. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Witter, Theodore Oswald can be contacted via phone (201) 438-2824.Contact Information
Primary practice address
17 Sylvan St Ste 201
Rutherford NJ 07070-2069
Phone: (201) 438-2824
Fax: (201) 438-2108
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | MA051466 | New Jersey |
Profile Details
| NPI number | 1386656577 |
|---|---|
| LBN Legal business name | Witter, Theodore Oswald |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 13th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1386656577 | NPPES |
| New Jersey | MEDICAID | 0777901 |
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