Widen, Duane Alan

Widen, Duane Alan is an sole proprietor health care provider with primary practice located at 209 S Evans Rd , Evansdale IA 50707-1121. He recently has only one registered license in Chiropractic Providers / Neurology, which is considered as his primary health care specialty. Widen, Duane Alan can be contacted via phone (319) 234-4872.

Contact Information

Primary practice address
209 S Evans Rd Evansdale IA 50707-1121
Fax: (319) 236-0670
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Neurology 111NN0400X A5374 Iowa

Profile Details

NPI number 1578593240
LBN Legal business name Widen, Duane Alan
Credentials DC, DIBCN
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 5th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1578593240 NPPES
Iowa MEDICAID 0287862

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