Wittpenn, Gregory Paul

Wittpenn, Gregory Paul is an individual health care provider with primary practice located at 3616 N University Dr , Nacogdoches TX 75965-2539. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery of the Hand, Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery. Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery is his primary health care specialty. Wittpenn, Gregory Paul can be contacted via phone (936) 564-3744.

Contact Information

Primary practice address
3616 N University Dr Nacogdoches TX 75965-2539
Phone: (936) 564-3744
Fax: (936) 564-0642
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery of the Hand 2082S0105X H8896 Texas
Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery 2086S0122X H8896 Texas

Profile Details

NPI number 1326007303
LBN Legal business name Wittpenn, Gregory Paul
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 20th, 2006
Last updated Apr 10th, 2024 - about 7 months 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 1326007303 NPPES
Texas Other 4470780 AETNA PIN
Texas Other 0070LY AETNA PIN
Texas Other 3324976 AETNA PIN
Texas MEDICAID 173185301 AETNA PIN

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