Weaver, Tony Lee

Weaver, Tony Lee is an individual health care provider with primary practice located at 401 Lowell Dr Se Ste 12 , Huntsville AL 35801-3738. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery. Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery is his primary health care specialty. Weaver, Tony Lee can be contacted via phone (256) 265-6851.

Contact Information

Primary practice address
401 Lowell Dr Se Ste 12 Huntsville AL 35801-3738
Phone: (256) 265-6851
Fax: (256) 265-6869
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X DO.1352 Alabama
Allopathic & Osteopathic Physicians / Surgery 208600000X UO2701 Florida
Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery 2086S0122X 1352 Alabama

Profile Details

NPI number 1609161843
LBN Legal business name Weaver, Tony Lee
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2011
Last updated Oct 8th, 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 1609161843 NPPES
Alabama MEDICAID 232839
Alabama MEDICAID 233999

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