Weideman, Catherine L
Weideman, Catherine L is an individual health care provider with primary practice located at 1351 W Central Park Ave Ste 350, Davenport IA 52804-1889. She recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as her primary health care specialty. Weideman, Catherine L can be contacted via phone (563) 421-4620.Contact Information
Primary practice address
1351 W Central Park Ave Ste 350
Davenport IA 52804-1889
Phone: (563) 421-4620
Fax: (563) 421-4625
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism | 207RE0101X | 20640 | Iowa |
Profile Details
| NPI number | 1083610919 |
|---|---|
| LBN Legal business name | Weideman, Catherine L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 24th, 2005 |
| Last updated | Jul 9th, 2007 - about 18 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 | 1083610919 | NPPES |
| Other | 31101 | WELLMARK BC/BS | |
| Other | IL01D6 | WELLMARK BC/BS | |
| Other | 19921 | WELLMARK BC/BS | |
| Other | 041678 | WELLMARK BC/BS | |
| MEDICAID | 1201376 | WELLMARK BC/BS |
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