Theodore W Witte is a Clinical in Saint Paul, Minnesota. Theodore W Witte practices all healthcare services and medical treatments related to Clinical. The NPI Number for Theodore W Witte is 1568686715. The last update date is 2007-07-08.
Theodore W Witte's current location address is 1491 Sherburne Ave, Saint Paul, Minnesota. You can contact this provider via phone number 6512544370 and fax number 6512512190. The mailing address for Theodore W Witte is 1491 Sherburne Ave, Saint Paul, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Theodore W Witte |
|---|---|
| Address | 1491 Sherburne Ave, Saint Paul, Minnesota |
| Phone Number | 6512544370 |
| Fax Number | 6512512190 |
| Sole Proprietor | Y |
| Credentials | LICSW |
NPI Number Detail
| NPI Number | 1568686715 |
|---|---|
| Provider Enumeration Date | 2007-04-12 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1491 Sherburne Ave |
|---|---|
| City | Saint Paul |
| State | Minnesota (MN) |
| Post Code | 551042416 |
| Phone Number | 6512544370 |
| Fax Number | 6512512190 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 15341 |
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Post Comment/ Review Below
What is the unique identifier code issued to Theodore W Witte by the Centers for Medicare & Medicaid Services?
The Theodore W Witte has been assigned the NPI (National Provider Identifier) 1568686715. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Theodore W Witte is geographically located?
The Theodore W Witte is physically situated at the following location: 1491 Sherburne Ave, Saint Paul, MN, 551042416.
What is Theodore W Witte's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Theodore W Witte is Clinical, and the taxonomy code that categorizes this field of expertise is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services assign the 1568686715 to Theodore W Witte?
The Centers for Medicare & Medicaid Services assigned the 1568686715 to Theodore W Witte on 2007-04-12.
As of what date were the details related to Theodore W Witte most recently updated or revised?
The information pertaining to Theodore W Witte, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.