Weaver, Derek
Weaver, Derek is an individual health care provider with primary practice located at 1128 Nw Harriman St , Bend OR 97703-1947. He recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as his primary health care specialty. Weaver, Derek can be contacted via phone (541) 330-4638.Contact Information
Primary practice address
1128 Nw Harriman St
Bend OR 97703-1947
Phone: (541) 330-4638
Fax: (541) 330-4630
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Peer Specialist | 175T00000X |
Profile Details
| NPI number | 1003267808 |
|---|---|
| LBN Legal business name | Weaver, Derek |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 23rd, 2016 |
| Last updated | Jun 23rd, 2016 - 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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