Widener, Michelle
Widener, Michelle is an individual health care provider with primary practice located at 11 Richland Medical Park Dr , Columbia SC 29203-6863. She recently has only one registered license in Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, which is considered as her primary health care specialty. Widener, Michelle can be contacted via phone (803) 434-4506.Contact Information
Primary practice address
11 Richland Medical Park Dr
Columbia SC 29203-6863
Phone: (803) 434-4506
Fax: (803) 434-4852
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry | 2084P0804X | 247986 | South Carolina |
Profile Details
| NPI number | 1033217716 |
|---|---|
| LBN Legal business name | Widener, Michelle |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 20th, 2006 |
| Last updated | Nov 21st, 2022 - about 2 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 | 1033217716 | NPPES |
| South Carolina | MEDICAID | 247986 |
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