Widick, Shawn Michael
Widick, Shawn Michael is an sole proprietor health care provider with primary practice located at 704 Healdsburg Ave Suite A, Healdsburg CA 95448-3651. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Widick, Shawn Michael can be contacted via phone (707) 433-6907.Contact Information
Primary practice address
704 Healdsburg Ave Suite A
Healdsburg CA 95448-3651
Phone: (707) 433-6907
Fax: (707) 433-1302
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 43098 | California |
Profile Details
| NPI number | 1770610297 |
|---|---|
| LBN Legal business name | Widick, Shawn Michael |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 28th, 2007 |
| Last updated | Dec 18th, 2012 - about 13 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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