Weatherhead, James L

Weatherhead, James L is an sole proprietor health care provider with primary practice located at 1005 W Green St Suite G100, Hastings MI 49058-1712. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Weatherhead, James L can be contacted via phone (269) 948-7820.

Contact Information

Primary practice address
1005 W Green St Suite G100 Hastings MI 49058-1712
Phone: (269) 948-7820
Fax: (269) 948-2458
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 4301032093 Michigan

Profile Details

NPI number 1730177783
LBN Legal business name Weatherhead, James L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 12th, 2005
Last updated Jan 20th, 2009 - about 17 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 1730177783 NPPES
Michigan Other 080058179 RAILROAD MEDICARE
Michigan Other 0800822151 RAILROAD MEDICARE
Michigan MEDICAID 209975510 RAILROAD MEDICARE
Michigan Other 0800822151 RAILROAD MEDICARE

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