Widener, Michael Dale
Widener, Michael Dale is an sole proprietor health care provider with primary practice located at 1713 Sudderth Dr , Ruidoso NM 88345-6114. He recently has only one registered license in Other Service Providers / Naprapath, which is considered as his primary health care specialty. Widener, Michael Dale can be contacted via phone (575) 315-2367.Contact Information
Primary practice address
1713 Sudderth Dr
Ruidoso NM 88345-6114
Phone: (575) 315-2367
Fax: (575) 315-2925
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Naprapath | 172P00000X | 1029 | New Mexico |
Profile Details
| NPI number | 1790568558 |
|---|---|
| LBN Legal business name | Widener, Michael Dale |
| Credentials | Doctor of Nursing (DN) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 16th, 2023 |
| Last updated | Jun 6th, 2024 - about last year |
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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