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
Phone: (910) 343-0811
Fax: (910) 343-5719
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| 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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