Weidman, Madonna M
Weidman, Madonna M is an sole proprietor health care provider with primary practice located at 1706 N 16Th St , Council Bluffs IA 51501-0121. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Weidman, Madonna M can be contacted via phone (712) 322-3111.Contact Information
Primary practice address
1706 N 16Th St
Council Bluffs IA 51501-0121
Phone: (712) 322-3111
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | 15760 | Iowa |
| Pharmacy Service Providers / Pharmacist | 183500000X | 11934 | Nebraska |
Profile Details
| NPI number | 1417074220 |
|---|---|
| LBN Legal business name | Weidman, Madonna M |
| Credentials | RPH,CDM |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 25th, 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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