Weaver, Carla

Weaver, Carla is an individual health care provider with primary practice located at 7600 Carroll Ave , Takoma Park MD 20912-6367. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine is her primary health care specialty. Weaver, Carla can be contacted via phone (317) 355-5539.

Contact Information

Primary practice address
7600 Carroll Ave Takoma Park MD 20912-6367
Phone: (317) 355-5539
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X 01047147 Indiana
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X D0079903 Maryland

Profile Details

NPI number 1114022456
LBN Legal business name Weaver, Carla
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 13th, 2006
Last updated Oct 6th, 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 1114022456 NPPES
Indiana MEDICAID 200385610
Indiana Other P01261841

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