Widdifield, Marnie Jean

Widdifield, Marnie Jean is an individual health care provider with primary practice located at 1542 S Bloomington St , Greencastle IN 46135-2297. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Widdifield, Marnie Jean can be contacted via phone (765) 301-7617.

Contact Information

Primary practice address
1542 S Bloomington St Greencastle IN 46135-2297
Phone: (765) 301-7617
Fax: (765) 301-7621
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 01051575A Indiana

Profile Details

NPI number 1790756443
LBN Legal business name Widdifield, Marnie Jean
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 31st, 2006
Last updated Mar 31st, 2021 - about 4 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 1790756443 NPPES
Indiana Other 510512209 PROHEALTH
Indiana Other 510512209 PROHEALTH
Indiana Other 000000001373 PROHEALTH
Indiana Other P00201816 PROHEALTH
Indiana Other 510512209 PROHEALTH
Indiana Other 000000336833 PROHEALTH

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