Wittgrove, Perri Lyne

Wittgrove, Perri Lyne is an sole proprietor health care provider with primary practice located at 200 W Arbor Dr , San Diego CA 92103-9000. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Wittgrove, Perri Lyne can be contacted via phone (800) 926-8273.

Contact Information

Primary practice address
200 W Arbor Dr San Diego CA 92103-9000
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X G56550 California

Profile Details

NPI number 1497752836
LBN Legal business name Wittgrove, Perri Lyne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 30th, 2005
Last updated Jun 2nd, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497752836 NPPES
California MEDICAID 00G565501

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