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
Fax: (563) 421-4625
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
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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