Wittman, Brenda J

Wittman, Brenda J is an individual health care provider with primary practice located at 3340 Providence Dr Suite A351, Anchorage AK 99508-4691. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology, which is considered as her primary health care specialty. Wittman, Brenda J can be contacted via phone (907) 212-4824.

Contact Information

Primary practice address
3340 Providence Dr Suite A351 Anchorage AK 99508-4691
Phone: (907) 212-4824
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology 2080P0207X 33820 Arizona

Profile Details

NPI number 1255407854
LBN Legal business name Wittman, Brenda J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 27th, 2006
Last updated Jul 15th, 2014 - about 11 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 1255407854 NPPES
Arizona MEDICAID 936073

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