Weis, Jeffrey Ross

Weis, Jeffrey Ross is an individual health care provider with primary practice located at 4815 W Arrowhead Rd Suite 120, Hermantown MN 55811-4004. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Weis, Jeffrey Ross can be contacted via phone (218) 625-1917.

Contact Information

Primary practice address
4815 W Arrowhead Rd Suite 120 Hermantown MN 55811-4004
Phone: (218) 625-1917
Fax: (218) 625-7182
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 42784 Minnesota

Profile Details

NPI number 1821183815
LBN Legal business name Weis, Jeffrey Ross
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2006
Last updated Jul 6th, 2010 - about 16 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 1821183815 NPPES
Minnesota MEDICAID 246970700

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