Widick, Carole Anne
Widick, Carole Anne is an individual health care provider with primary practice located at 110 2Nd St S Ste 301 , Waite Park MN 56387-1314. She recently has only one registered license in Behavioral Health & Social Service Providers / Counseling, which is considered as her primary health care specialty. Widick, Carole Anne can be contacted via phone (320) 252-2976.Contact Information
Primary practice address
110 2Nd St S Ste 301
Waite Park MN 56387-1314
Phone: (320) 252-2976
Fax: (320) 656-1570
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counseling | 103TC1900X | LP1899 | Minnesota |
Profile Details
| NPI number | 1770501843 |
|---|---|
| LBN Legal business name | Widick, Carole Anne |
| Credentials | L.P. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 17th, 2006 |
| Last updated | May 14th, 2008 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1770501843 | NPPES |
| Minnesota | MEDICAID | 491351500 |
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