Weaver, Jeremy Allen

Weaver, Jeremy Allen is an sole proprietor health care provider with primary practice located at 1435 Mckinley St , Canon City CO 81212-4453. He recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as his primary health care specialty. Weaver, Jeremy Allen can be contacted via phone (719) 280-3020.

Contact Information

Primary practice address
1435 Mckinley St Canon City CO 81212-4453
Phone: (719) 280-3020
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X Colorado

Profile Details

NPI number 1184301848
LBN Legal business name Weaver, Jeremy Allen
Credentials BS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 3rd, 2023
Last updated Jul 3rd, 2023 - about 3 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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