Weaver, Randall W
Weaver, Randall W is an individual health care provider with primary practice located at 2400 Hospital Rd , Tuskegee AL 36083-5001. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Weaver, Randall W can be contacted via phone (334) 272-4670.Contact Information
Primary practice address
2400 Hospital Rd
Tuskegee AL 36083-5001
Phone: (334) 272-4670
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 00016642 | Alabama |
Profile Details
| NPI number | 1912092677 |
|---|---|
| LBN Legal business name | Weaver, Randall W |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 4th, 2006 |
| Last updated | Jul 17th, 2018 - about 8 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 | 1912092677 | NPPES |
| Alabama | MEDICAID | 051527706 |
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