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
Fax: (303) 417-5062
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548217557 NPPES
Colorado MEDICAID 01371384

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