Widder, Jared Robert
Widder, Jared Robert is an individual health care provider with primary practice located at 100 Stein Plz Fl 1 , Los Angeles CA 90095-5000. He recently has 3 registered licenses in different health care specialties including Other Service Providers / Military Health Care Provider, Allopathic & Osteopathic Physicians / Glaucoma Specialist, Allopathic & Osteopathic Physicians / Ophthalmology. Allopathic & Osteopathic Physicians / Ophthalmology is his primary health care specialty. Widder, Jared Robert can be contacted via phone (310) 825-3090.Contact Information
Primary practice address
100 Stein Plz Fl 1
Los Angeles CA 90095-5000
Phone: (310) 825-3090
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Military Health Care Provider | 171000000X | ||
| Allopathic & Osteopathic Physicians / Glaucoma Specialist | 207WX0009X | 16655 | California |
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 16655 | California |
Profile Details
| NPI number | 1073048963 |
|---|---|
| LBN Legal business name | Widder, Jared Robert |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 27th, 2017 |
| Last updated | Jul 14th, 2023 - about 3 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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