Weaver, John Bennett
Weaver, John Bennett is an individual health care provider with primary practice located at 1906 Glenn Blvd Sw , Fort Payne AL 35968-3545. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Weaver, John Bennett can be contacted via phone (256) 845-7555.Contact Information
Primary practice address
1906 Glenn Blvd Sw
Fort Payne AL 35968-3545
Phone: (256) 845-7555
Fax: (256) 845-4499
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 00013008 | Alabama |
Profile Details
| NPI number | 1689638058 |
|---|---|
| LBN Legal business name | Weaver, John Bennett |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 13th, 2006 |
| Last updated | Jul 15th, 2010 - about 16 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 | 1689638058 | NPPES |
| Alabama | MEDICAID | 009951580 |
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