Weideman, Austin
Weideman, Austin is an individual health care provider with primary practice located at 505 S 336Th St Ste 500 , Federal Way WA 98003-8300. He recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Student, Health Care / Student in an Organized Health Care Education/Training Program, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Weideman, Austin can be contacted via phone (805) 807-5626.Contact Information
Primary practice address
505 S 336Th St Ste 500
Federal Way WA 98003-8300
Phone: (805) 807-5626
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 57014 | California |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA61286749 | Washington |
Profile Details
| NPI number | 1295296622 |
|---|---|
| LBN Legal business name | Weideman, Austin |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 28th, 2019 |
| Last updated | Mar 1st, 2023 - about 3 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 | 1295296622 | NPPES |
| California | Other | 57014 | PHYSICIAN ASSISTANT LICENSE |
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