Weiss, Sheldon A.

Weiss, Sheldon A. is an individual health care provider with primary practice located at 3401 N Perryville Rd , Rockford IL 61114-8011. He recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as his primary health care specialty. Weiss, Sheldon A. can be contacted via phone (815) 971-2000.

Contact Information

Primary practice address
3401 N Perryville Rd Rockford IL 61114-8011
Phone: (815) 971-2000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X 036-058552 Illinois

Profile Details

NPI number 1427168616
LBN Legal business name Weiss, Sheldon A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2006
Last updated Nov 24th, 2009 - about 17 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 1427168616 NPPES
Illinois MEDICAID 036058552

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