Wideman, Vicky Diann

Wideman, Vicky Diann is an sole proprietor health care provider with primary practice located at 3020 Bailey Ave , Buffalo NY 14215-2814. She recently has only one registered license in Managed Care Organizations / Health Maintenance Organization, which is considered as her primary health care specialty. Wideman, Vicky Diann can be contacted via phone (716) 833-3622.

Contact Information

Primary practice address
3020 Bailey Ave Buffalo NY 14215-2814
Phone: (716) 833-3622
Fax: (716) 834-4557
Website:
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Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Health Maintenance Organization 302R00000X 101YA0400X New York

Profile Details

NPI number 1932280203
LBN Legal business name Wideman, Vicky Diann
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 17th, 2006
Last updated Jul 8th, 2007 - about 17 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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