Lance H Wittwer, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4732 Issued in KY

Practice address

2200 E Parrish Ave
Ll103 Bldgc
Owensboro, KY 42303-1449

Phone

(270) 485-3772

Fax

(270) 852-1631

NPI assigned

Jan 5, 2007

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209513600000",
    "number": "1992853287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 E PARRISH AVE",
            "address_2": "LL103 BLDGC",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423031449",
            "telephone_number": "270-485-3772",
            "fax_number": "270-852-1631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 E PARRISH AVE",
            "address_2": "LL103 BLDGC",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423031449",
            "telephone_number": "270-485-3772",
            "fax_number": "270-852-1631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WITTWER",
        "first_name": "LANCE",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-05",
        "last_updated": "2008-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KY",
            "license": "4732",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PIN NUMBER",
            "identifier": "00000037077",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "85003820",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kaci Nicole Winstead, MSOTR/L
• Olivia Nicole Winstead, BCBA, LBA
• Sara Winters, LCSW, LCADC
• Andrea Shawn Wise, AGACNP
• Erin A Witters, AU.D,
• Jamie Woerz, PT
• Erin M. Wofford, MD
• David A Wolfe II
• Kristopher W. Wolfe, M.D.
• Randy L. Wolfe, MD

• Chiropractor in Owensboro, KY
• Providers in Owensboro, KY by specialty
• Chiropractor in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.