Healthcare Provider Details

I. General information

NPI: 1245309939
Provider Name (Legal Business Name): REBEKAH ANN WITTMAN DC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: REBEKAH ANN MEECE

II. Dates (important events)

Enumeration Date: 11/07/2006
Last Update Date: 11/20/2023
Certification Date: 11/20/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2072 N COUNTY ROAD 700 W
RICHLAND IN
47634-9480
US

IV. Provider business mailing address

2072 N COUNTY ROAD 700 W
RICHLAND IN
47634-9480
US

V. Phone/Fax

Practice location:
  • Phone: 812-686-4192
  • Fax:
Mailing address:
  • Phone: 812-686-4192
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111NP0017X
TaxonomyPediatric Chiropractor
License Number4829
License Number StateKY
# 2
Primary TaxonomyY
Taxonomy Code111NP0017X
TaxonomyPediatric Chiropractor
License Number08002444A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: