Widman, Douglas W

Widman, Douglas W is an individual health care provider with primary practice located at 793 W State St , Columbus OH 43222-1551. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Radiation Oncology, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Radiation Oncology is his primary health care specialty. Widman, Douglas W can be contacted via phone (614) 234-5100.

Contact Information

Primary practice address
793 W State St Columbus OH 43222-1551
Phone: (614) 234-5100
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X 35077393 Ohio
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 35077393 Ohio

Profile Details

NPI number 1669461828
LBN Legal business name Widman, Douglas W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 19th, 2005
Last updated Jul 18th, 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 1669461828 NPPES
Ohio MEDICAID 2152352

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