Individual
DR. WILLIAM MITCHELL BLITSTEIN
Active
Individual
DR. WILLIAM MITCHELL BLITSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC, FASA, CCSP
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
NC2475
NC
111NS0005X
Sports Physician Chiropractor
SC2487
SC
171100000X
Acupuncturist
3852
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0831X
—
NC
Enumeration date
12/27/2005
Last updated
01/09/2013
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