Widell, Jared Michael

Widell, Jared Michael is an individual health care provider with primary practice located at Guthrie Cortland Medical Center 134 Homer Avenue, Cortland NY 13045. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Widell, Jared Michael can be contacted via phone (607) 756-3561.

Contact Information

Primary practice address
Guthrie Cortland Medical Center 134 Homer Avenue Cortland NY 13045
Phone: (607) 756-3561
Fax: (607) 756-3562
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 176591 New York
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X MD034608 District of Columbia

Profile Details

NPI number 1417994716
LBN Legal business name Widell, Jared Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 2nd, 2006
Last updated Apr 13th, 2021 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1417994716 NPPES
District of Columbia MEDICAID 035391600
District of Columbia MEDICAID 010039991
District of Columbia MEDICAID 403555100

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