Waddle, Jean Patricia

Waddle, Jean Patricia is an individual health care provider with primary practice located at 8000 E Maplewood Ave Ste 200 , Greenwood Village CO 80111. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as her primary health care specialty. Waddle, Jean Patricia can be contacted via phone (303) 785-4700.

Contact Information

Primary practice address
8000 E Maplewood Ave Ste 200 Greenwood Village CO 80111
Fax: (720) 439-9500
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X K6400 Texas
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X DR.0056738 Colorado

Profile Details

NPI number 1457356610
LBN Legal business name Waddle, Jean Patricia
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2005
Last updated Oct 29th, 2018 - about 6 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 1457356610 NPPES
Colorado MEDICAID 1457356610
Colorado MEDICAID 104199806
Colorado MEDICAID 104199803
Colorado Other P01446868
Colorado Other 8EH613

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