Weaver, Adam M

Weaver, Adam M is an individual health care provider with primary practice located at 4301 Wilson St , Lawton OK 73503-4472. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Weaver, Adam M can be contacted via phone (580) 558-8358.

Contact Information

Primary practice address
4301 Wilson St Lawton OK 73503-4472
Phone: (580) 558-8358
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 085-003865 Illinois

Profile Details

NPI number 1982928917
LBN Legal business name Weaver, Adam M
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 19th, 2010
Last updated Jul 18th, 2023 - about 3 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 1982928917 NPPES
Illinois MEDICAID 085-003865

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