Noordewier, Edwin R

Noordewier, Edwin R is an individual health care provider with primary practice located at 1900 16Th St , Greeley CO 80631-5114. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Noordewier, Edwin R can be contacted via phone (970) 350-2454.

Contact Information

Primary practice address
1900 16Th St Greeley CO 80631-5114
Phone: (970) 350-2454
Fax: (970) 350-2447
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 29737 Colorado

Profile Details

NPI number 1619941739
LBN Legal business name Noordewier, Edwin R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 15th, 2006
Last updated Jan 3rd, 2017 - about 9 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 1619941739 NPPES
Kansas MEDICAID 200390030A
Kansas Other P00931165
Kansas MEDICAID Z3282
Kansas MEDICAID 122698300
Kansas MEDICAID 128166
Kansas MEDICAID 01297373
Kansas MEDICAID 100263923-00
Kansas MEDICAID 81581882

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