Provider Demographics
NPI:1912071275
Name:FLITTIE, WILLIAM HANTEN (MD)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:HANTEN
Last Name:FLITTIE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:322 EAST ANTIETAM ST
Mailing Address - Street 2:STE NO 306A
Mailing Address - City:HAGERSTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:21740
Mailing Address - Country:US
Mailing Address - Phone:301-745-5200
Mailing Address - Fax:301-745-5202
Practice Address - Street 1:322 EAST ANTIETAM ST
Practice Address - Street 2:STE NO 306A
Practice Address - City:HAGERSTOWN
Practice Address - State:MD
Practice Address - Zip Code:21740
Practice Address - Country:US
Practice Address - Phone:301-745-5200
Practice Address - Fax:301-745-5202
Is Sole Proprietor?:No
Enumeration Date:2006-11-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0047811207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDOF18WHOtherBCBS
MD435QMedicare ID - Type Unspecified
B22729Medicare UPIN