Wittman, Jerry Wayne
Wittman, Jerry Wayne is an sole proprietor health care provider with primary practice located at 626 Humboldt St , Reno NV 89509-1606. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is his primary health care specialty. Wittman, Jerry Wayne can be contacted via phone (775) 322-2904.Contact Information
Primary practice address
626 Humboldt St
Reno NV 89509-1606
Phone: (775) 322-2904
Fax: (775) 329-6741
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 454-L | Nevada |
Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | 0827 | Nevada |
Profile Details
NPI number | 1215086244 |
---|---|
LBN Legal business name | Wittman, Jerry Wayne |
Credentials | Master of Arts (MA) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jan 9th, 2007 |
Last updated | Jul 8th, 2007 - about 17 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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