Widnell, Katherine Laura
Widnell, Katherine Laura is an individual health care provider with primary practice located at 2625 W Alameda Ave Ste 322 , Burbank CA 91505-4822. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as her primary health care specialty. Widnell, Katherine Laura can be contacted via phone (818) 843-9043.Contact Information
Primary practice address
2625 W Alameda Ave Ste 322
Burbank CA 91505-4822
Phone: (818) 843-9043
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | C141716 | California |
Profile Details
| NPI number | 1295777100 |
|---|---|
| LBN Legal business name | Widnell, Katherine Laura |
| Credentials | MD, PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 12th, 2006 |
| Last updated | Nov 6th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1295777100 | NPPES |
| Wisconsin | MEDICAID | 34632300 |
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