Weaver, John R
Weaver, John R is an individual health care provider with primary practice located at 2717 N Grandview Blvd #303, Waukesha WI 53188. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Weaver, John R can be contacted via phone (262) 544-6486.Contact Information
Primary practice address
2717 N Grandview Blvd #303
Waukesha WI 53188
Phone: (262) 544-6486
Fax: (262) 544-6377
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 1969057 | Wisconsin |
Profile Details
| NPI number | 1376632893 |
|---|---|
| LBN Legal business name | Weaver, John R |
| Credentials | PSYD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 12th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1376632893 | NPPES |
| Wisconsin | MEDICAID | 39137400 |
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