Wedeward, Timothy R

Wedeward, Timothy R is an individual health care provider with primary practice located at 200 Mercy Dr Suite 201, Dubuque IA 52001-7303. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Wedeward, Timothy R can be contacted via phone (563) 584-3500.

Contact Information

Primary practice address
200 Mercy Dr Suite 201 Dubuque IA 52001-7303
Phone: (563) 584-3500
Fax: (563) 584-3520
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X G116249 Iowa
Nursing Service Providers / Registered Nurse 163W00000X 80427-030 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X G116249 Iowa
Nursing Service Providers / Registered Nurse 163W00000X 116249 Iowa

Profile Details

NPI number 1518976711
LBN Legal business name Wedeward, Timothy R
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 5th, 2006
Last updated Oct 12th, 2009 - about 15 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 1518976711 NPPES
Other 200700010934 ANCC
Other G116249 ANCC

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