Witztum, Kathryn Flake
Witztum, Kathryn Flake is an individual health care provider with primary practice located at 6305 Coyle Ave , Carmichael CA 95608-0438. She recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as her primary health care specialty. Witztum, Kathryn Flake can be contacted via phone (916) 961-6920.Contact Information
Primary practice address
6305 Coyle Ave
Carmichael CA 95608-0438
Phone: (916) 961-6920
Fax: (916) 966-5063
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | G31766 | California |
Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | MD-5837 | Hawaii |
Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | R5521 | Missouri |
Profile Details
NPI number | 1487683603 |
---|---|
LBN Legal business name | Witztum, Kathryn Flake |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 1st, 2006 |
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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1487683603 | NPPES |
California | Other | 00G317660 | MEDI-CAL |
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