Weaver, Derek Samuel
Weaver, Derek Samuel is an individual health care provider with primary practice located at 2935 Allen Rd , Sunnyside WA 98944-8931. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Weaver, Derek Samuel can be contacted via phone (509) 837-0070.Contact Information
Primary practice address
2935 Allen Rd
Sunnyside WA 98944-8931
Phone: (509) 837-0070
Fax: (509) 837-0690
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | OP60139736 | Washington |
Profile Details
| NPI number | 1962660704 |
|---|---|
| LBN Legal business name | Weaver, Derek Samuel |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 29th, 2008 |
| Last updated | Nov 17th, 2022 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1962660704 | NPPES |
| Washington | MEDICAID | 1962660704 |
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