Widrick, Dean
Widrick, Dean is an sole proprietor health care provider with primary practice located at 105 Canterstone Ct , Cary NC 27518-2251. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as his primary health care specialty. Widrick, Dean can be contacted via phone (919) 815-4389.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics | 225XP0200X | 4143 | North Carolina |
Profile Details
| NPI number | 1275684078 |
|---|---|
| LBN Legal business name | Widrick, Dean |
| Credentials | MS, OTR/L |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 16th, 2007 |
| Last updated | Jun 23rd, 2010 - about 14 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 | 1275684078 | NPPES |
| North Carolina | Other | 154V6 | BLUECROSS BLUESHIELD OF NORTH CAROLINA |
| North Carolina | MEDICAID | 7302150 | BLUECROSS BLUESHIELD OF NORTH CAROLINA |
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