Weinbaum, Marc
Weinbaum, Marc is an individual health care provider with primary practice located at 3002 Se 1St Ave Building 100, Ocala FL 34471-0477. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Addiction Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Weinbaum, Marc can be contacted via phone (352) 732-0450.Contact Information
Primary practice address
3002 Se 1St Ave Building 100
Ocala FL 34471-0477
Phone: (352) 732-0450
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 19584SC | South Carolina |
| Allopathic & Osteopathic Physicians / Addiction Psychiatry | 2084P0802X | 01029010C | Indiana |
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | ME53120 | Florida |
Profile Details
| NPI number | 1265507628 |
|---|---|
| LBN Legal business name | Weinbaum, Marc |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 21st, 2006 |
| Last updated | Jun 5th, 2014 - about 12 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 | 1265507628 | NPPES |
| Indiana | MEDICAID | 100331450 | |
| Indiana | MEDICAID | 195844 | |
| Indiana | Other | 189903 | |
| Indiana | MEDICAID | 327877 |
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