Weaver, Michael
Weaver, Michael is an sole proprietor health care provider with primary practice located at 1501 Crawford Ave , Altoona PA 16602-4605. He recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as his primary health care specialty. Weaver, Michael can be contacted via phone (814) 931-3402.Contact Information
Primary practice address
1501 Crawford Ave
Altoona PA 16602-4605
Phone: (814) 931-3402
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Case Manager/Care Coordinator | 171M00000X |
Profile Details
| NPI number | 1992995336 |
|---|---|
| LBN Legal business name | Weaver, Michael |
| Credentials | B.S. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 1st, 2007 |
| Last updated | Aug 1st, 2007 - about 19 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 | 1992995336 | NPPES |
| Pennsylvania | MEDICAID | 1018703000003 |
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