Douglas James Widmark
Rehabilitation Practitioner
8390 Cinnamon Ridge Ln
Reno
, Nevada 89523-4836
Douglas James Widmark
Rehabilitation Practitioner
8390 Cinnamon Ridge Ln
Reno
, Nevada 89523-4836
(775) 741-7982
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About
Features
Specialties
- Rehabilitation Practitioner
Languages spoken
- English
Location
First Address
- Douglas James Widmark
- 8390 Cinnamon Ridge Ln
- Reno, NV
- Zip : 89523-4836
- Phone : (775) 741-7982
Second Address
- Douglas James Widmark
- 8390 Cinnamon Ridge Ln
- Reno, NV
- Zip : 89523-4836
- Phone : (775) 741-7982
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225400000X | Rehabilitation Practitioner |
National Provider Identifier
| NPI | 1033509757 |
|---|---|
| Provider Name | Douglas James Widmark |
| First Address | Reno, NV 89523-4836 |
| Second Address | Reno, NV 89523-4836 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 02/02/2015 |
| Last Update Date | 02/02/2015 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.