Individual
JAMES P LITWIN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
327 MEDICAL PARK DR, BRIDGEPORT, WV 26330-9006
(681) 342-1000
Mailing address
4135 BOARDMAN CANFIELD RD, SUITE 101, CANFIELD, OH 44406-9803
(330) 286-5330
(330) 286-5396
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
85103
WV
367500000X
Certified Registered Nurse Anesthetist
RN292083-1
OH
367500000X
Certified Registered Nurse Anesthetist
RN357151L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
H061911
MEDICARE PTAN
OH
05
—
PENDING
—
OH
Enumeration date
07/26/2005
Last updated
04/08/2022
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