Weber, Edward Glenn

Weber, Edward Glenn is an individual health care provider with primary practice located at 800 Grand Central Mall Suite 1, Vienna WV 26105-4100. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Weber, Edward Glenn can be contacted via phone (304) 865-6777.

Contact Information

Primary practice address
800 Grand Central Mall Suite 1 Vienna WV 26105-4100
Phone: (304) 865-6777
Fax: (304) 865-6780
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 001333 West Virginia
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT006713 Ohio

Profile Details

NPI number 1437161239
LBN Legal business name Weber, Edward Glenn
Credentials Master of Physical Therapy (MPT)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 12th, 2006
Last updated May 27th, 2016 - about 10 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 1437161239 NPPES
Ohio MEDICAID 2702614
Ohio MEDICAID 7305220000
Ohio Other P00123835

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