Weis, Kevin James

Weis, Kevin James is an sole proprietor health care provider with primary practice located at 2325 Brookstone Centre Pkwy , Columbus GA 31904-4500. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Child & Adolescent, which is considered as his primary health care specialty. Weis, Kevin James can be contacted via phone (706) 653-6841.

Contact Information

Primary practice address
2325 Brookstone Centre Pkwy Columbus GA 31904-4500
Phone: (706) 653-6841
Fax: (706) 653-7843
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X PSY003142 Georgia

Profile Details

NPI number 1699791541
LBN Legal business name Weis, Kevin James
Credentials PSY.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 14th, 2006
Last updated Jan 12th, 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 1699791541 NPPES
Florida Other 54641 BLUECROSSBLUESHIELD
Florida Other 7761336 BLUECROSSBLUESHIELD

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