Weber, Michael Thomas

Weber, Michael Thomas is an individual health care provider with primary practice located at 1919 Lathrop St Suite 209, Fairbanks AK 99701. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Weber, Michael Thomas can be contacted via phone (907) 452-4446.

Contact Information

Primary practice address
1919 Lathrop St Suite 209 Fairbanks AK 99701
Phone: (907) 452-4446
Fax: (907) 451-9480
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 171 Alaska

Profile Details

NPI number 1902990963
LBN Legal business name Weber, Michael Thomas
Credentials PHYSICIAN ASSISTANT
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 3rd, 2006
Last updated Jul 8th, 2007 - about 18 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 1902990963 NPPES
Other 152822 MC GROUP
MEDICAID MD45451 MC GROUP

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