Widman, Elisabeth Regina

Widman, Elisabeth Regina is an sole proprietor health care provider with primary practice located at 706 D St E Regina Widman Md, San Rafael CA 94901-3757. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Widman, Elisabeth Regina can be contacted via phone (415) 256-1980.

Contact Information

Primary practice address
706 D St E Regina Widman Md San Rafael CA 94901-3757
Phone: (415) 256-1980
Fax: (415) 256-1981
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X G46518 California

Profile Details

NPI number 1831173855
LBN Legal business name Widman, Elisabeth Regina
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 2nd, 2005
Last updated Jul 8th, 2007 - about 17 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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