Witzigman, Melissa A

Witzigman, Melissa A is an individual health care provider with primary practice located at 400 N State Of Franklin Rd , Johnson City TN 37604-6035. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Witzigman, Melissa A can be contacted via phone (423) 302-1200.

Contact Information

Primary practice address
400 N State Of Franklin Rd Johnson City TN 37604-6035
Phone: (423) 302-1200
Fax: (423) 302-1220
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 772-023 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 1846 Tennessee

Profile Details

NPI number 1467438465
LBN Legal business name Witzigman, Melissa A
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 21st, 2005
Last updated Jul 5th, 2013 - about 12 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 1467438465 NPPES
Wisconsin Other 005 BCBS
Wisconsin MEDICAID 42952100 BCBS
Wisconsin MEDICAID 1520451 BCBS

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