Provider Demographics
NPI:1538147020
Name:WITTMAN, CHRISTINE (DC)
Entity type:Individual
Prefix:DR
First Name:CHRISTINE
Middle Name:
Last Name:WITTMAN
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3530 MARION AVE
Mailing Address - Street 2:
Mailing Address - City:FINLEYVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:15332-1314
Mailing Address - Country:US
Mailing Address - Phone:724-348-6446
Mailing Address - Fax:724-348-6447
Practice Address - Street 1:3530 MARION AVE
Practice Address - Street 2:
Practice Address - City:FINLEYVILLE
Practice Address - State:PA
Practice Address - Zip Code:15332-1314
Practice Address - Country:US
Practice Address - Phone:724-348-6446
Practice Address - Fax:724-348-6447
Is Sole Proprietor?:No
Enumeration Date:2006-01-04
Last Update Date:2009-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC-1046-L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA564948Medicare PIN