Weeden, Shaun G
Weeden, Shaun G is an sole proprietor health care provider with primary practice located at 218 E Broad St Fl 2 , Westfield NJ 07090-2120. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as his primary health care specialty. Weeden, Shaun G can be contacted via phone (908) 868-5700.Contact Information
Primary practice address
218 E Broad St Fl 2
Westfield NJ 07090-2120
Phone: (908) 868-5700
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant | 225200000X | 40QB00262700 | New Jersey |
Profile Details
| NPI number | 1801198155 |
|---|---|
| LBN Legal business name | Weeden, Shaun G |
| Credentials | Physical Therapist Assistant (PTA) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 18th, 2010 |
| Last updated | Nov 18th, 2010 - about 16 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 | 1801198155 | NPPES |
| New Jersey | Other | 40QB00262700 | PTA LICENSE |
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