Weaver, Blaine A
Weaver, Blaine A is an individual health care provider with primary practice located at 48 Dry Run Rd , West Portsmouth OH 45663-8987. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer. Student, Health Care / Student in an Organized Health Care Education/Training Program is his primary health care specialty. Weaver, Blaine A can be contacted via phone (740) 285-4724.Contact Information
Primary practice address
48 Dry Run Rd
West Portsmouth OH 45663-8987
Phone: (740) 285-4724
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer | 2255A2300X |
Profile Details
| NPI number | 1003457706 |
|---|---|
| LBN Legal business name | Weaver, Blaine A |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 3rd, 2019 |
| Last updated | Oct 3rd, 2019 - about 6 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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