Widell, Heather Lynn

Widell, Heather Lynn is an individual health care provider with primary practice located at 655 7Th St Bldg 700 78 Mdg/Sgpf, Robins Afb GA 31098-2227. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Military Health Care Provider, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is her primary health care specialty. Widell, Heather Lynn can be contacted via phone (478) 327-7758.

Contact Information

Primary practice address
655 7Th St Bldg 700 78 Mdg/Sgpf Robins Afb GA 31098-2227
Phone: (478) 327-7758
Fax: (478) 327-7585
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Military Health Care Provider 171000000X
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X

Profile Details

NPI number 1902216377
LBN Legal business name Widell, Heather Lynn
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date May 6th, 2014
Last updated Apr 29th, 2022 - about 3 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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