Widom, Barbara

Widom, Barbara is an individual health care provider with primary practice located at 1106 E Prospect Rd Suite 100, Fort Collins CO 80525-5306. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism. Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism is her primary health care specialty. Widom, Barbara can be contacted via phone (970) 224-3636.

Contact Information

Primary practice address
1106 E Prospect Rd Suite 100 Fort Collins CO 80525-5306
Phone: (970) 224-3636
Fax: (970) 224-3637
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 32251 Colorado
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X 32251 Colorado

Profile Details

NPI number 1669480810
LBN Legal business name Widom, Barbara
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 4th, 2006
Last updated Jan 26th, 2015 - about 10 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 1669480810 NPPES
Colorado MEDICAID 01322510
Colorado Other P00970408
Colorado Other P00431825

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