Weiss, Wendy Eve

Weiss, Wendy Eve is an sole proprietor health care provider with primary practice located at 575 Price St Suite 101, Pismo Beach CA 93449-2553. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Weiss, Wendy Eve can be contacted via phone (805) 773-0707.

Contact Information

Primary practice address
575 Price St Suite 101 Pismo Beach CA 93449-2553
Phone: (805) 773-0707
Fax: (805) 773-2051
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 20A6436 California

Profile Details

NPI number 1609867738
LBN Legal business name Weiss, Wendy Eve
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 28th, 2005
Last updated Apr 5th, 2017 - about 9 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 1609867738 NPPES
California MEDICAID 00AX64360
California Other 020A64360

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