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:
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Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033217716 NPPES
South Carolina MEDICAID 247986

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