Wedemeyer, Starr Rachelle

Wedemeyer, Starr Rachelle is an individual health care provider with primary practice located at 8889 Fox Dr , Thornton CO 80260-8841. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Wedemeyer, Starr Rachelle can be contacted via phone (303) 430-0823.

Contact Information

Primary practice address
8889 Fox Dr Thornton CO 80260-8841
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 46043 Colorado
Allopathic & Osteopathic Physicians / Pediatrics 208000000X A93003 California

Profile Details

NPI number 1518974484
LBN Legal business name Wedemeyer, Starr Rachelle
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 2nd, 2006
Last updated Jan 31st, 2012 - about 13 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 1518974484 NPPES
Colorado MEDICAID 31705057

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