Weaver, Theresa M.
Weaver, Theresa M. is an sole proprietor health care provider with primary practice located at 200 S Wenona St Dept-Total Family Health Care Ste 170, Bay City MI 48706-8820. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Weaver, Theresa M. can be contacted via phone (989) 893-6162.Contact Information
Primary practice address
200 S Wenona St Dept-Total Family Health Care Ste 170
Bay City MI 48706-8820
Phone: (989) 893-6162
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 6401004225 | Michigan |
Profile Details
| NPI number | 1255393401 |
|---|---|
| LBN Legal business name | Weaver, Theresa M. |
| Credentials | M.A., L.P.C. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 4th, 2006 |
| Last updated | Feb 23rd, 2015 - about 11 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 | 1255393401 | NPPES |
| Michigan | Other | 12443729 | CAQH |
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