Wittgen, Kristin P
Wittgen, Kristin P is an sole proprietor health care provider with primary practice located at 2753 Thomashire Trce , Marietta GA 30066-4783. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Wittgen, Kristin P can be contacted via phone (678) 234-9761.Contact Information
Primary practice address
2753 Thomashire Trce
Marietta GA 30066-4783
Phone: (678) 234-9761
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics | 225XP0200X | 002916 | Georgia |
Profile Details
| NPI number | 1427125772 |
|---|---|
| LBN Legal business name | Wittgen, Kristin P |
| Credentials | Registered Occupational Therapist (OTR) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 30th, 2006 |
| Last updated | Aug 11th, 2020 - about 4 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 | 1427125772 | NPPES |
| Georgia | MEDICAID | 000916418A |
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