Widman, Fredrick Carl

Widman, Fredrick Carl is an sole proprietor health care provider with primary practice located at 11160 Huron St Ste 32 , Northglenn CO 80234-3335. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Widman, Fredrick Carl can be contacted via phone (720) 510-9115.

Contact Information

Primary practice address
11160 Huron St Ste 32 Northglenn CO 80234-3335
Phone: (720) 510-9115
Fax: (720) 510-9103
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X CP 60144815 Washington
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 13-R-26 Oregon
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X ACB.0008070 Colorado

Profile Details

NPI number 1568851392
LBN Legal business name Widman, Fredrick Carl
Credentials CAC II, CADC II, CDP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 16th, 2015
Last updated Jun 5th, 2019 - about 6 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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