Wedel, Staci L
Wedel, Staci L is an individual health care provider with primary practice located at 855 A Ave Ne Suite 300, Cedar Rapids IA 52402-5057. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Wedel, Staci L can be contacted via phone (319) 368-9300.Contact Information
Primary practice address
855 A Ave Ne Suite 300
Cedar Rapids IA 52402-5057
Phone: (319) 368-9300
Fax: (319) 368-5690
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 31367 | Kansas |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 37934 | Iowa |
Profile Details
| NPI number | 1083623250 |
|---|---|
| LBN Legal business name | Wedel, Staci L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 6th, 2006 |
| Last updated | Oct 27th, 2011 - about 14 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 | 1083623250 | NPPES |
| Iowa | MEDICAID | 1083623250 | |
| Iowa | Other | 102549 | |
| Iowa | Other | 244545 | |
| Iowa | Other | 104840 | |
| Iowa | Other | 12149415 | |
| Iowa | MEDICAID | 200333240A | |
| Iowa | Other | 14746 |
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