Weaver, David J

Weaver, David J is an individual health care provider with primary practice located at 2200 E Parrish Ave Bldg D Suite 100, Owensboro KY 42303-1449. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Neurological Surgery. Other Service Providers / Specialist is his primary health care specialty. Weaver, David J can be contacted via phone (270) 688-1770.

Contact Information

Primary practice address
2200 E Parrish Ave Bldg D Suite 100 Owensboro KY 42303-1449
Phone: (270) 688-1770
Fax: (270) 688-1781
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X 01060207A Indiana

Profile Details

NPI number 1679578504
LBN Legal business name Weaver, David J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2005
Last updated Nov 20th, 2014 - about 12 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 1679578504 NPPES
Indiana MEDICAID 200510920

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