Weidman, Gary
Weidman, Gary is an individual health care provider with primary practice located at 11116 Medical Campus Rd Suite 2989, Hagerstown MD 21742-6710. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Weidman, Gary can be contacted via phone (301) 766-7600.Contact Information
Primary practice address
11116 Medical Campus Rd Suite 2989
Hagerstown MD 21742-6710
Phone: (301) 766-7600
Fax: (301) 766-7702
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 11518 | Maryland |
Profile Details
| NPI number | 1750388187 |
|---|---|
| LBN Legal business name | Weidman, Gary |
| Credentials | LCSW-C |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 30th, 2005 |
| Last updated | Aug 11th, 2016 - about 10 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 | 1750388187 | NPPES |
| Pennsylvania | MEDICAID | 101057323 | |
| Pennsylvania | MEDICAID | 401662900 |
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