Weaver, Allayne E

Weaver, Allayne E is an individual health care provider with primary practice located at 509 Hamacher St Ste 101, Waterloo IL 62298-1592. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Weaver, Allayne E can be contacted via phone (618) 939-5555.

Contact Information

Primary practice address
509 Hamacher St Ste 101 Waterloo IL 62298-1592
Phone: (618) 939-5555
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 070.018483 Illinois

Profile Details

NPI number 1942596911
LBN Legal business name Weaver, Allayne E
Credentials DPT
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 28th, 2011
Last updated Jul 7th, 2015 - about 10 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 1942596911 NPPES
Missouri Other P01425606 RR MEDICARE

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