Wedel, Colleen

Wedel, Colleen is an sole proprietor health care provider with primary practice located at 4216 Balloon Park Rd Ne , Albuquerque NM 87109-5801. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Wedel, Colleen can be contacted via phone (505) 344-5470.

Contact Information

Primary practice address
4216 Balloon Park Rd Ne Albuquerque NM 87109-5801
Fax: (505) 344-9343
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 3362 New Mexico

Profile Details

NPI number 1336277854
LBN Legal business name Wedel, Colleen
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 28th, 2007
Last updated Jul 8th, 2007 - about 19 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 1336277854 NPPES
New Mexico MEDICAID 28702069

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