Weidman, Corey
Weidman, Corey is an individual health care provider with primary practice located at Jackson River Orthopedics 1 Arh Lane, Ste 102, Low Moor VA 24457. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Weidman, Corey can be contacted via phone (540) 862-6777.Contact Information
Primary practice address
Jackson River Orthopedics 1 Arh Lane, Ste 102
Low Moor VA 24457
Phone: (540) 862-6777
Fax: (540) 863-9167
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 0110840643 | Virginia |
Profile Details
| NPI number | 1013912104 |
|---|---|
| LBN Legal business name | Weidman, Corey |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 16th, 2005 |
| Last updated | Jul 21st, 2022 - about 4 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 | 1013912104 | NPPES |
| West Virginia | Other | 54183971800 | WV WORKERS COMPENSATION |
| West Virginia | Other | 541839718045 | WV WORKERS COMPENSATION |
| West Virginia | Other | 541839718 | WV WORKERS COMPENSATION |
| West Virginia | Other | 001717977 | WV WORKERS COMPENSATION |
| West Virginia | Other | 200026 | WV WORKERS COMPENSATION |
| West Virginia | Other | 258083 | WV WORKERS COMPENSATION |
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