Weiss, Matthew Jay

Weiss, Matthew Jay is an individual health care provider with primary practice located at 9463 Holly Rd Suite 103, Grand Blanc MI 48439. He recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as his primary health care specialty. Weiss, Matthew Jay can be contacted via phone (810) 603-3702.

Contact Information

Primary practice address
9463 Holly Rd Suite 103 Grand Blanc MI 48439
Phone: (810) 603-3702
Fax: (810) 603-3704
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X 5101007703 Michigan

Profile Details

NPI number 1982712717
LBN Legal business name Weiss, Matthew Jay
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 29th, 2006
Last updated Jul 8th, 2007 - about 19 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 1982712717 NPPES
Michigan MEDICAID 3371370

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