Widener, Levi Samuel

Widener, Levi Samuel is an individual health care provider with primary practice located at 21371 Forsythe Rd , Bristol VA 24202-4357. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Widener, Levi Samuel can be contacted via phone (276) 525-4377.

Contact Information

Primary practice address
21371 Forsythe Rd Bristol VA 24202-4357
Phone: (276) 525-4377
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X

Profile Details

NPI number 1306512371
LBN Legal business name Widener, Levi Samuel
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 19th, 2021
Last updated Aug 19th, 2021 - about 5 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.

Request for update

Popular Providers