National Provider Identifier Database

LEVI S WIDENER
Physician Assistant

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.


Contact Information

LEVI S WIDENER
245 MEDICAL PARK DR STE B
MARION, VA24354
Phone: 276-378-3020
Fax:
Website:
Specialty Taxonomy Code
* Physician Assistant 363A00000X

* Indicates primary specialty

NPI Profile & details for LEVI S WIDENER

NPI Number 1306512371
Credentials
Entity Individual
Enumeration date 08/19/2021
Last updated 12/05/2025 - About 6 months ago
Sole proprietor1 No
Identifiers
  • TN License #: 4743
  • VA License #: 0110008072
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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