Widmer, Lylith Skye

Widmer, Lylith Skye is an sole proprietor health care provider with primary practice located at 131 1St Ave , Haines AK 99827. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Widmer, Lylith Skye can be contacted via phone (907) 766-6335.

Contact Information

Primary practice address
131 1St Ave Haines AK 99827
Phone: (907) 766-6335
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 7648 Alaska

Profile Details

NPI number 1720221211
LBN Legal business name Widmer, Lylith Skye
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 13th, 2009
Last updated Sep 26th, 2018 - about 7 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 1720221211 NPPES
Alaska MEDICAID 1571200

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