Widenski, Amber Lievens

Widenski, Amber Lievens is an individual health care provider with primary practice located at 1405 Mill St , New London WI 54961-2155. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Emergency Medicine is her primary health care specialty. Widenski, Amber Lievens can be contacted via phone (920) 531-2030.

Contact Information

Primary practice address
1405 Mill St New London WI 54961-2155
Phone: (920) 531-2030
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 63792-21 Wisconsin
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1417255902
LBN Legal business name Widenski, Amber Lievens
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 7th, 2011
Last updated Sep 8th, 2023 - 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 1417255902 NPPES
Wisconsin MEDICAID 1417255902

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