Widder, Jared Robert

Widder, Jared Robert is an individual health care provider with primary practice located at 100 Stein Plz Fl 1 , Los Angeles CA 90095-5000. He recently has 3 registered licenses in different health care specialties including Other Service Providers / Military Health Care Provider, Allopathic & Osteopathic Physicians / Glaucoma Specialist, Allopathic & Osteopathic Physicians / Ophthalmology. Allopathic & Osteopathic Physicians / Ophthalmology is his primary health care specialty. Widder, Jared Robert can be contacted via phone (310) 825-3090.

Contact Information

Primary practice address
100 Stein Plz Fl 1 Los Angeles CA 90095-5000
Phone: (310) 825-3090
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Military Health Care Provider 171000000X
Allopathic & Osteopathic Physicians / Glaucoma Specialist 207WX0009X 16655 California
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 16655 California

Profile Details

NPI number 1073048963
LBN Legal business name Widder, Jared Robert
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 27th, 2017
Last updated Jul 14th, 2023 - about 2 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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