Weaver, Yvonne Jackson
Weaver, Yvonne Jackson is an individual health care provider with primary practice located at 7401 Beaufont Springs Dr Suite 100, Richmond VA 23225-5520. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Nuclear Cardiology, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Nuclear Cardiology is her primary health care specialty. Weaver, Yvonne Jackson can be contacted via phone (804) 323-5011.Contact Information
Primary practice address
7401 Beaufont Springs Dr Suite 100
Richmond VA 23225-5520
Phone: (804) 323-5011
Fax: (804) 323-5120
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nuclear Cardiology | 207UN0901X | 0101025448 | Virginia |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 0101030305 | Virginia |
Profile Details
| NPI number | 1053334094 |
|---|---|
| LBN Legal business name | Weaver, Yvonne Jackson |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 25th, 2006 |
| Last updated | Jul 9th, 2014 - about 12 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 | 1053334094 | NPPES |
| Virginia | Other | 27413300 | FEDERAL BLACK LUNG |
| Virginia | Other | 4063733 | FEDERAL BLACK LUNG |
| Virginia | Other | 2689960 | FEDERAL BLACK LUNG |
| Virginia | MEDICAID | 10063159 | FEDERAL BLACK LUNG |
| Virginia | Other | 60042101 | FEDERAL BLACK LUNG |
| Virginia | MEDICAID | 5804868 | FEDERAL BLACK LUNG |
| Virginia | Other | 69563 | FEDERAL BLACK LUNG |
| Virginia | Other | 276368 | FEDERAL BLACK LUNG |
| Virginia | Other | 113019 | FEDERAL BLACK LUNG |
| Virginia | Other | 276283 | FEDERAL BLACK LUNG |
| Virginia | Other | 411515 | FEDERAL BLACK LUNG |
| Virginia | Other | 113000 | FEDERAL BLACK LUNG |
| Virginia | Other | 113018 | FEDERAL BLACK LUNG |
| Virginia | Other | 276212 | FEDERAL BLACK LUNG |
| Virginia | Other | 533768 | FEDERAL BLACK LUNG |
| Virginia | Other | 103806 | FEDERAL BLACK LUNG |
| Virginia | Other | 44233 | FEDERAL BLACK LUNG |
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