Wertheimer, Lori
Wertheimer, Lori is an individual health care provider with primary practice located at 192 Front St , Monument CO 80132-6738. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Wertheimer, Lori can be contacted via phone (719) 488-6998.Contact Information
Primary practice address
192 Front St
Monument CO 80132-6738
Phone: (719) 488-6998
Fax: (719) 488-8270
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 31067 | Colorado |
Profile Details
| NPI number | 1972543965 |
|---|---|
| LBN Legal business name | Wertheimer, Lori |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 7th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1972543965 | NPPES |
| Colorado | MEDICAID | 01310671 |
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