Widing, Nicholaus E

Widing, Nicholaus E is an individual health care provider with primary practice located at 7066 Stillwater Blvd N , Oakdale MN 55128-3937. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Widing, Nicholaus E can be contacted via phone (651) 777-5222.

Contact Information

Primary practice address
7066 Stillwater Blvd N Oakdale MN 55128-3937
Phone: (651) 777-5222
Fax: (651) 251-5111
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 302362 Minnesota

Profile Details

NPI number 1740433796
LBN Legal business name Widing, Nicholaus E
Credentials LADC
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 3rd, 2008
Last updated Nov 3rd, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740433796 NPPES
Minnesota Other 57422KU BLUE CROSS/BLUE SHIELD

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