Weaver, Edgar N

Weaver, Edgar N is an individual health care provider with primary practice located at 5304 Indian Grave Rd Sw Suite A, Roanoke VA 24018-9108. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. Weaver, Edgar N can be contacted via phone (540) 772-7107.

Contact Information

Primary practice address
5304 Indian Grave Rd Sw Suite A Roanoke VA 24018-9108
Phone: (540) 772-7107
Fax: (540) 772-7858
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X 0101033189 Virginia

Profile Details

NPI number 1346251469
LBN Legal business name Weaver, Edgar N
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 11th, 2006
Last updated May 17th, 2010 - about 15 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 1346251469 NPPES
Virginia MEDICAID 006196705
Virginia Other C12923
Virginia Other 140001855
Virginia Other C01334

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