Weaver, Jack

Weaver, Jack is an individual health care provider with primary practice located at 521 Gault Ave N , Fort Payne AL 35967-2307. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Weaver, Jack can be contacted via phone (256) 273-7216.

Contact Information

Primary practice address
521 Gault Ave N Fort Payne AL 35967-2307
Phone: (256) 273-7216
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X C2207A Alabama

Profile Details

NPI number 1184055048
LBN Legal business name Weaver, Jack
Credentials ALC
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 3rd, 2013
Last updated Dec 3rd, 2013 - 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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