Wordekemper, Ann Marie

Wordekemper, Ann Marie is an individual health care provider with primary practice located at 1 Edmundson Pl , Council Bluffs IA 51503-4658. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Wordekemper, Ann Marie can be contacted via phone (712) 396-4340.

Contact Information

Primary practice address
1 Edmundson Pl Council Bluffs IA 51503-4658
Phone: (712) 396-4340
Fax: (712) 396-4180
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 1477 Nebraska
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 001158 Iowa

Profile Details

NPI number 1508843681
LBN Legal business name Wordekemper, Ann Marie
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 29th, 2005
Last updated May 1st, 2017 - about 7 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 1508843681 NPPES
Nebraska MEDICAID 47068731785
Nebraska MEDICAID 47068731712
Nebraska MEDICAID 47068731749
Nebraska MEDICAID 10026480100
Nebraska MEDICAID 47068731734
Nebraska MEDICAID 10025464000
Nebraska MEDICAID 47068731741
Nebraska MEDICAID 47068731777
Nebraska MEDICAID 1508813681

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