Weiss, Edward S

Weiss, Edward S is an individual health care provider with primary practice located at 11125 Dunn Rd Suite 204, Saint Louis MO 63136-6132. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Weiss, Edward S can be contacted via phone (314) 839-5522.

Contact Information

Primary practice address
11125 Dunn Rd Suite 204 Saint Louis MO 63136-6132
Phone: (314) 839-5522
Fax: (314) 839-5351
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 036043458 Illinois
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X R4677 Missouri

Profile Details

NPI number 1437142338
LBN Legal business name Weiss, Edward S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 25th, 2005
Last updated Oct 28th, 2020 - about 5 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 1437142338 NPPES
Other 000000011832 ESSENCE
Other 42988V30946 ESSENCE
Other 10025V8816 ESSENCE
Other 2248981 ESSENCE
Other A12743 ESSENCE
Other 21785 ESSENCE
Other 431098908 ESSENCE
Other 119140 ESSENCE
Other 2500095 ESSENCE
Other 4001174 ESSENCE
Other 060067878 ESSENCE
Other 5914V3831 ESSENCE
Other 060031058 ESSENCE
MEDICAID 200347508 ESSENCE

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