Weidner, John A
Weidner, John A is an sole proprietor health care provider with primary practice located at 3636 Stockton Hill Rd Suite 2, Kingman AZ 86409-0514. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Weidner, John A can be contacted via phone (928) 692-9555.Contact Information
Primary practice address
3636 Stockton Hill Rd Suite 2
Kingman AZ 86409-0514
Phone: (928) 692-9555
Fax: (928) 692-2522
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 4035 | Arizona |
Profile Details
| NPI number | 1467438143 |
|---|---|
| LBN Legal business name | Weidner, John A |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 15th, 2005 |
| Last updated | Apr 2nd, 2019 - about 6 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 | 1467438143 | NPPES |
| Arizona | MEDICAID | 869042 |
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