Adidharma, Widya

Adidharma, Widya is an individual health care provider with primary practice located at 4029 Ave Maria Drive Lobby A, Suite 1200, Ann Arbor MI 48105. She recently has only one registered license in Student, Health Care / Student in an Organized Health Care Education/Training Program, which is considered as her primary health care specialty. Adidharma, Widya can be contacted via phone (734) 998-6022.

Contact Information

Primary practice address
4029 Ave Maria Drive Lobby A, Suite 1200 Ann Arbor MI 48105
Phone: (734) 998-6022
Fax: (734) 998-6696
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X 4351044143 Michigan

Profile Details

NPI number 1437713211
LBN Legal business name Adidharma, Widya
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 26th, 2019
Last updated Apr 26th, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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