Weaver, Micaela
Weaver, Micaela is an individual health care provider with primary practice located at 1 Blackstone Street 2Nd Floor, Providence RI 02903. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Surgical Oncology, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Surgical Oncology is her primary health care specialty. Weaver, Micaela can be contacted via phone (401) 453-7520.Contact Information
Primary practice address
1 Blackstone Street 2Nd Floor
Providence RI 02903
Phone: (401) 453-7520
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | DO00965 | Rhode Island |
| Allopathic & Osteopathic Physicians / Surgical Oncology | 2086X0206X | 285738 | Massachusetts |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | New York | |
| Allopathic & Osteopathic Physicians / Surgical Oncology | 2086X0206X | DO00965 | Rhode Island |
Profile Details
| NPI number | 1992111884 |
|---|---|
| LBN Legal business name | Weaver, Micaela |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 11th, 2014 |
| Last updated | Jun 25th, 2021 - about 5 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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