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
Phone: (319) 234-4872
Fax: (319) 236-0670
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1578593240 | NPPES |
| Iowa | MEDICAID | 0287862 |
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