Wedemeyer, Gerald
Wedemeyer, Gerald is an individual health care provider with primary practice located at 327 Medical Park Drive , Bridgeport WV 26330. He recently has only one registered license in Allopathic & Osteopathic Physicians / Clinical Pathology/Laboratory Medicine, which is considered as his primary health care specialty. Wedemeyer, Gerald can be contacted via phone (681) 342-1525.Contact Information
Primary practice address
327 Medical Park Drive
Bridgeport WV 26330
Phone: (681) 342-1525
Fax: (681) 342-3125
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Clinical Pathology/Laboratory Medicine | 207ZP0105X | WV16760 | West Virginia |
Profile Details
NPI number | 1174571038 |
---|---|
LBN Legal business name | Wedemeyer, Gerald |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 4th, 2006 |
Last updated | May 12th, 2014 - about 11 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 | 1174571038 | NPPES |
West Virginia | Other | 10232000 | MEDICAID |
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