Weiler, Lisa Marie

Weiler, Lisa Marie is an individual health care provider with primary practice located at 1010 W 2Nd St , Bloomington IN 47403-2217. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Weiler, Lisa Marie can be contacted via phone (812) 334-3955.

Contact Information

Primary practice address
1010 W 2Nd St Bloomington IN 47403-2217
Phone: (812) 334-3955
Fax: (812) 334-5792
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 01046344A Indiana

Profile Details

NPI number 1427033778
LBN Legal business name Weiler, Lisa Marie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 9th, 2005
Last updated Dec 23rd, 2020 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1427033778 NPPES
Indiana MEDICAID 200128570

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