Weicht, Jeanette Kay
Weicht, Jeanette Kay is an individual health care provider with primary practice located at 855 Montgomery , Fort Worth TX 76107-2553. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Family Health. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Weicht, Jeanette Kay can be contacted via phone (817) 735-3627.Contact Information
Primary practice address
855 Montgomery
Fort Worth TX 76107-2553
Phone: (817) 735-3627
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA00655 | Texas |
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | PA00655 | Texas |
| Physician Assistants & Advanced Practice Nursing Providers / Family Health | 364SF0001X | 00655 | Texas |
Profile Details
| NPI number | 1184893414 |
|---|---|
| LBN Legal business name | Weicht, Jeanette Kay |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 20th, 2008 |
| Last updated | Oct 17th, 2013 - about 13 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 | 1184893414 | NPPES |
| Texas | MEDICAID | 307767902 | |
| Texas | MEDICAID | 307767901 | |
| Texas | Other | 899N18 | |
| Texas | Other | 897N31 |
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