Widener, Ann Louise

Widener, Ann Louise is an individual health care provider with primary practice located at 968 Ribaut Rd Ste 2, Beaufort SC 29902-5486. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as her primary health care specialty. Widener, Ann Louise can be contacted via phone (843) 524-7920.

Contact Information

Primary practice address
968 Ribaut Rd Ste 2 Beaufort SC 29902-5486
Fax: (843) 525-1230
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 566 South Carolina

Profile Details

NPI number 1619955481
LBN Legal business name Widener, Ann Louise
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 3rd, 2006
Last updated Jul 8th, 2007 - about 19 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 1619955481 NPPES
South Carolina MEDICAID SA0018
South Carolina MEDICAID GP1494

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