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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. PAUL EDWARD WIDNER, ATC, LAT

Active Sole Proprietor

Athletic Trainer · NAPPANEE, IN

Registration Details

NPI Number
1407178577
Provider Type
Individual
Gender
Male
NPI Issued
Feb 17, 2010 (16.212351868588 yrs)
Last Updated
Feb 17, 2010
License
36000256A (IN)
Sole Proprietor
Yes

Practice Information

Address
2101 N MAIN ST
NAPPANEE, IN, 465509310
Browse IN providers · Browse ZIP 46550
Phone
5747734127
Fax
5747734099
Primary Specialty
Athletic Trainer
2255A2300X

Other Athletic Trainer Providers in NAPPANEE, IN

Name Credential NPI
MISS KAREN LEIGH HOLMES LAT, ATC 1811354848
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.