Weber, Joseph Allen
Weber, Joseph Allen is an individual health care provider with primary practice located at 2600 Kiley Way , Plymouth WI 53073-5020. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Weber, Joseph Allen can be contacted via phone (920) 449-7000.Contact Information
Primary practice address
2600 Kiley Way
Plymouth WI 53073-5020
Phone: (920) 449-7000
Fax: (920) 449-7088
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 71832 | Wisconsin |
Profile Details
| NPI number | 1578050688 |
|---|---|
| LBN Legal business name | Weber, Joseph Allen |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 16th, 2018 |
| Last updated | Jun 5th, 2024 - about 2 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 | 1578050688 | NPPES |
| Wisconsin | MEDICAID | 100093257 |
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