Weaver, David L

Weaver, David L is an individual health care provider with primary practice located at 500 J Clyde Morris Blvd Riverside Regional Medical Center, Newport News VA 23601-1929. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Weaver, David L can be contacted via phone (757) 594-4405.

Contact Information

Primary practice address
500 J Clyde Morris Blvd Riverside Regional Medical Center Newport News VA 23601-1929
Phone: (757) 594-4405
Fax: (757) 594-3547
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X ME84643 Florida
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 0101034133 Virginia

Profile Details

NPI number 1689655771
LBN Legal business name Weaver, David L
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 7th, 2005
Last updated Jun 5th, 2008 - about 17 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 1689655771 NPPES
Virginia MEDICAID 010264405
Virginia Other 17354
Virginia MEDICAID 264087100
Virginia MEDICAID 1689655771
Virginia Other P00468522

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