Weaver, David D

Weaver, David D is an individual health care provider with primary practice located at 1002 Wishard Blvd , Indianapolis IN 46202-4163. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.), Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.) is his primary health care specialty. Weaver, David D can be contacted via phone (317) 944-3966.

Contact Information

Primary practice address
1002 Wishard Blvd Indianapolis IN 46202-4163
Fax: (317) 968-1354
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.) 207SG0201X 01026914 Indiana
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 01026914A Indiana
Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.) 207SG0201X 01026914A Indiana

Profile Details

NPI number 1508822545
LBN Legal business name Weaver, David D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 26th, 2006
Last updated Feb 21st, 2025 - about last year

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 1508822545 NPPES
Indiana MEDICAID 100059190

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