Widener, Brian Keith

Widener, Brian Keith is an individual health care provider with primary practice located at 16000 Johnston Memorial Dr , Abingdon VA 24211-7664. He recently has 2 registered licenses in different health care specialties including Chiropractic Providers / Chiropractor, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is his primary health care specialty. Widener, Brian Keith can be contacted via phone (276) 258-1000.

Contact Information

Primary practice address
16000 Johnston Memorial Dr Abingdon VA 24211-7664
Fax: (276) 258-1405
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 0104555564 Virginia
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 0024175795 Virginia

Profile Details

NPI number 1932288875
LBN Legal business name Widener, Brian Keith
Credentials DC, RN, CRNA
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 2nd, 2006
Last updated Mar 19th, 2018 - about 7 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 1932288875 NPPES
Virginia Other 227319 ANTHEM BC/BS

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