Weber, Heather
Weber, Heather is an individual health care provider with primary practice located at 315 W Old Key Dr , Peru IN 46970-9057. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Weber, Heather can be contacted via phone (765) 475-6963.Contact Information
Primary practice address
315 W Old Key Dr
Peru IN 46970-9057
Phone: (765) 475-6963
Fax: (765) 475-2833
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 71000775 | Indiana |
Profile Details
| NPI number | 1013094994 |
|---|---|
| LBN Legal business name | Weber, Heather |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 31st, 2006 |
| Last updated | Mar 29th, 2021 - about 5 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 | 1013094994 | NPPES |
| Indiana | MEDICAID | 200375910 |
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