Widmer, John

Widmer, John is an individual health care provider with primary practice located at 4464 S Dixie Hwy , Middletown OH 45005-5464. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Widmer, John can be contacted via phone (513) 649-8008.

Contact Information

Primary practice address
4464 S Dixie Hwy Middletown OH 45005-5464
Phone: (513) 649-8008
Fax: (513) 649-8004
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X E-0501359 Ohio
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X LCDCIII.091022 Ohio
Behavioral Health & Social Service Providers / Professional 101YP2500X E.0501359 Ohio

Profile Details

NPI number 1942638408
LBN Legal business name Widmer, John
Credentials LPCC, LCDC-III
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 21st, 2013
Last updated Nov 5th, 2017 - about 8 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 1942638408 NPPES
Ohio Other 0074861 OHIO DEPT. DRUG & ALCOHOL (GROUP)
Ohio Other 0074946 OHIO DEPT. DRUG & ALCOHOL (GROUP)
Ohio Other H130910 OHIO DEPT. DRUG & ALCOHOL (GROUP)
Ohio Other 01-0693 OHIO DEPT. DRUG & ALCOHOL (GROUP)

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