Witzenfeld, Jack T

Witzenfeld, Jack T is an individual health care provider with primary practice located at 736 Battlefield Blvd N Chesapeake General Hospital, Chesapeake VA 23320-4941. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Witzenfeld, Jack T can be contacted via phone (757) 490-9388.

Contact Information

Primary practice address
736 Battlefield Blvd N Chesapeake General Hospital Chesapeake VA 23320-4941
Phone: (757) 490-9388
Fax: (757) 490-9401
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 0110840299 Virginia

Profile Details

NPI number 1093819377
LBN Legal business name Witzenfeld, Jack T
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 8th, 2006
Last updated Nov 5th, 2010 - about 16 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 1093819377 NPPES
Other 970000664 MEDICARE RAILROAD

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