Wityczak, Jesse

Wityczak, Jesse is an sole proprietor health care provider with primary practice located at 101 Bolstad Ave E , Long Beach WA 98631. He recently has only one registered license in Pharmacy Service Providers / Ambulatory Care, which is considered as his primary health care specialty. Wityczak, Jesse can be contacted via phone (360) 642-2349.

Contact Information

Primary practice address
101 Bolstad Ave E Long Beach WA 98631
Phone: (360) 642-2349
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Ambulatory Care 1835P2201X PH60465766 Washington

Profile Details

NPI number 1558724302
LBN Legal business name Wityczak, Jesse
Credentials PHARMD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 30th, 2016
Last updated Mar 30th, 2016 - about 8 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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