Widick, Susan Appleberry

Widick, Susan Appleberry is an sole proprietor health care provider with primary practice located at 3926 S Lynn Ct , Independence MO 64055-6515. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Widick, Susan Appleberry can be contacted via phone (816) 254-7800.

Contact Information

Primary practice address
3926 S Lynn Ct Independence MO 64055-6515
Fax: (816) 254-7803
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 15507 Missouri

Profile Details

NPI number 1326084427
LBN Legal business name Widick, Susan Appleberry
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 20th, 2006
Last updated Jul 8th, 2007 - about 18 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 1326084427 NPPES
Kansas Other 700606 BCBS OF KS PROVIDER NUMBE
Kansas Other 19396018 BCBS OF KS PROVIDER NUMBE

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