Widner, Larry A

Widner, Larry A is an individual health care provider with primary practice located at 624 Quaker Ln Suite 117-B, High Point NC 27262-3832. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Widner, Larry A can be contacted via phone (336) 882-1416.

Contact Information

Primary practice address
624 Quaker Ln Suite 117-B High Point NC 27262-3832
Fax: (336) 882-7691
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 28380 North Carolina

Profile Details

NPI number 1215915210
LBN Legal business name Widner, Larry A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 9th, 2006
Last updated Jul 8th, 2007 - 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1215915210 NPPES
North Carolina MEDICAID 8987271
North Carolina Other 87271

Popular Providers