Weatherford, David Allen

Weatherford, David Allen is an individual health care provider with primary practice located at 1411 Physicians Drive , Wilmington NC 28401-7338. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Vascular Surgery, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Weatherford, David Allen can be contacted via phone (910) 343-0811.

Contact Information

Primary practice address
1411 Physicians Drive Wilmington NC 28401-7338
Fax: (910) 343-5719
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 97-00417 North Carolina
Allopathic & Osteopathic Physicians / Surgery 208600000X 97-00417 North Carolina

Profile Details

NPI number 1326131525
LBN Legal business name Weatherford, David Allen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 2nd, 2006
Last updated May 17th, 2012 - about 14 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 1326131525 NPPES
North Carolina Other 1030N BCBS OF NC INDIVIDUAL #
North Carolina MEDICAID 89-1030N BCBS OF NC INDIVIDUAL #
North Carolina MEDICAID 891030N BCBS OF NC INDIVIDUAL #
North Carolina Other 02003617 BCBS OF NC INDIVIDUAL #
North Carolina Other 1030N BCBS OF NC INDIVIDUAL #
North Carolina Other 1205252 BCBS OF NC INDIVIDUAL #

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