Widergren, John

Widergren, John is an individual health care provider with primary practice located at 2080 Child St , Jacksonville FL 32214-5005. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Widergren, John can be contacted via phone (904) 215-7720.

Contact Information

Primary practice address
2080 Child St Jacksonville FL 32214-5005
Phone: (904) 215-7720
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 41739-020 Wisconsin

Profile Details

NPI number 1144290628
LBN Legal business name Widergren, John
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 25th, 2006
Last updated Jul 8th, 2007 - about 18 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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