Weaver, Rebecca J

Weaver, Rebecca J is an individual health care provider with primary practice located at 600 Fayette St , Peoria IL 61603-3610. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Weaver, Rebecca J can be contacted via phone (309) 671-8019.

Contact Information

Primary practice address
600 Fayette St Peoria IL 61603-3610
Phone: (309) 671-8019
Fax: (309) 671-4695
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 209008803 Illinois
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 209008803 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 209008803 Illinois

Profile Details

NPI number 1932497922
LBN Legal business name Weaver, Rebecca J
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2011
Last updated May 17th, 2012 - about 13 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 1932497922 NPPES
Illinois Other 209008803 DIVISION OF PROFESSIONAL REGULATION

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