Weilert, Brent R
Weilert, Brent R is an individual health care provider with primary practice located at 3336 North Futrall Drive , Fayetteville AR 72703. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as his primary health care specialty. Weilert, Brent R can be contacted via phone (479) 463-3000.Contact Information
Primary practice address
3336 North Futrall Drive
Fayetteville AR 72703
Phone: (479) 463-3000
Fax: (479) 463-3050
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | E-5218 | Arkansas |
Profile Details
| NPI number | 1699828186 |
|---|---|
| LBN Legal business name | Weilert, Brent R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 19th, 2007 |
| Last updated | Apr 20th, 2010 - about 15 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 | 1699828186 | NPPES |
| Arkansas | Other | 5N836 | BCBS |
| Arkansas | MEDICAID | 164614001 | BCBS |
| Arkansas | Other | P00405693 | BCBS |
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