Blake Wittenberg, in Aurora, CO - Student in an Organized Health Care Education/Training Program

Blake Wittenberg, is a Student In An Organized Health Care Education/training Program physician based in Aurora, Colorado. Blake Wittenberg is licensed to practice in Colorado (license number TL.0007205) and his current practice location is 12631 E 17th Ave Ste C307, Aurora, Colorado. He can be reached at his office (for appointments etc.) via phone at (230) 530-3724.

NPI number for Blake Wittenberg is 1982191003 and his current mailing address is 12631 E 17th Ave Ste C307, Aurora, Colorado. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1982191003.

Contact Information

	Blake Wittenberg,
	12631 E 17th Ave Ste C307, Aurora, CO 80045
	(230) 530-3724
	Not Available

Physician's Profile

Full Name	Blake Wittenberg
Gender	Male
Speciality	Student In An Organized Health Care Education/training Program
Location	12631 E 17th Ave Ste C307, Aurora, Colorado
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1982191003
Provider Enumeration Date: 04/14/2018
Last Update Date: 05/22/2018

Medical Identifiers

Medical identifiers for Blake Wittenberg such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1982191003	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207T00000X	Neurological Surgery	TL.0007205 (Colorado)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	TL.0007205 (Colorado)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Blake Wittenberg is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Blake Wittenberg, 12631 E 17th Ave Ste C307, Aurora, CO 80045-2527 Ph: () -	Blake Wittenberg, 12631 E 17th Ave Ste C307, Aurora, CO 80045 Ph: (230) 530-3724

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Blake Wittenberg, - Student in an Organized Health Care Education/Training Program in Aurora, CO