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:
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Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689638058 NPPES
Alabama MEDICAID 009951580

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