Weaver, Robert R.

Weaver, Robert R. is an individual health care provider with primary practice located at 8020 Constitution Pl Ne Ste 202 , Albuquerque NM 87110-7640. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Weaver, Robert R. can be contacted via phone (505) 998-3096.

Contact Information

Primary practice address
8020 Constitution Pl Ne Ste 202 Albuquerque NM 87110-7640
Fax: (505) 998-3100
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X ME70061 Florida
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X MD2005-0012 New Mexico

Profile Details

NPI number 1992786701
LBN Legal business name Weaver, Robert R.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 9th, 2005
Last updated Oct 11th, 2019 - about 7 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 1992786701 NPPES
Florida Other DF2783 GROUP RR MEDICARE
Florida Other 31750 GROUP RR MEDICARE
Florida Other CA6907 GROUP RR MEDICARE
Florida Other P00352555 GROUP RR MEDICARE
Florida MEDICAID 32630531 GROUP RR MEDICARE
Florida Other P00060370 GROUP RR MEDICARE
Florida MEDICAID 250915600 GROUP RR MEDICARE

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