Weaver, Brian Shanklin

Weaver, Brian Shanklin is an individual health care provider with primary practice located at 814 Kempsville Rd Suite 104, Norfolk VA 23502-4001. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Interventional Pain Medicine. Allopathic & Osteopathic Physicians / Interventional Pain Medicine is his primary health care specialty. Weaver, Brian Shanklin can be contacted via phone (757) 455-8887.

Contact Information

Primary practice address
814 Kempsville Rd Suite 104 Norfolk VA 23502-4001
Phone: (757) 455-8887
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X MT186418 Pennsylvania
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X 0101245237 Virginia
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X 0101245237 Virginia
Allopathic & Osteopathic Physicians / Pain Medicine 208VP0000X 0101245237 Virginia

Profile Details

NPI number 1104988328
LBN Legal business name Weaver, Brian Shanklin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 14th, 2006
Last updated Mar 27th, 2015 - about 11 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 1104988328 NPPES
Virginia Other P00918125 RAILROAD MEDICARE
Virginia MEDICAID 5911825 RAILROAD MEDICARE

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