Erdley, Jeremy
Erdley, Jeremy is an individual health care provider with primary practice located at 10103 Ridgegate Pkwy Suite G21, Lone Tree CO 80124-5520. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Erdley, Jeremy can be contacted via phone (303) 471-5060.Contact Information
Primary practice address
10103 Ridgegate Pkwy Suite G21
Lone Tree CO 80124-5520
Phone: (303) 471-5060
Fax: (303) 417-5062
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 37138 | Colorado |
Profile Details
NPI number | 1548217557 |
---|---|
LBN Legal business name | Erdley, Jeremy |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 27th, 2006 |
Last updated | Jul 9th, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1548217557 | NPPES |
Colorado | MEDICAID | 01371384 |
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