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
Phone: (276) 258-1000
Fax: (276) 258-1405
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1932288875 | NPPES |
Virginia | Other | 227319 | ANTHEM BC/BS |
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