Wedel, Paul

Wedel, Paul is an individual health care provider with primary practice located at 1025 Pennock Pl Ste 121, Fort Collins CO 80524-3257. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Wedel, Paul can be contacted via phone (970) 624-4439.

Contact Information

Primary practice address
1025 Pennock Pl Ste 121 Fort Collins CO 80524-3257
Phone: (970) 624-4439
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036060589 Illinois

Profile Details

NPI number 1700860764
LBN Legal business name Wedel, Paul
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 2nd, 2005
Last updated Dec 26th, 2014 - about 12 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 1700860764 NPPES
Illinois MEDICAID 036060589
Illinois Other 036060589

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