Widmier, Shannon
Widmier, Shannon is an individual health care provider with primary practice located at 702 Center Street West , Kimberly ID 83341. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Widmier, Shannon can be contacted via phone (208) 423-6444.Contact Information
Primary practice address
702 Center Street West
Kimberly ID 83341
Phone: (208) 423-6444
Fax: (208) 423-6903
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | D3342 | Idaho |
Profile Details
| NPI number | 1396842779 |
|---|---|
| LBN Legal business name | Widmier, Shannon |
| Credentials | D.D. S. P.A. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 20th, 2006 |
| Last updated | Jul 8th, 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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