Widrick, Graham R
Widrick, Graham R is an sole proprietor health care provider with primary practice located at 44 Gentian Way , Fairport NY 14450-9212. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Widrick, Graham R can be contacted via phone (585) 880-9553.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 62 028214 | New York |
Profile Details
| NPI number | 1821079427 |
|---|---|
| LBN Legal business name | Widrick, Graham R |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 10th, 2005 |
| Last updated | Sep 17th, 2009 - about 15 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 | 1821079427 | NPPES |
| North Carolina | Other | C775Q | BCBS |
| North Carolina | Other | 5142742 | BCBS |
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