Weiss, Zachary Jordan

Weiss, Zachary Jordan is an sole proprietor health care provider with primary practice located at 2160 S 1St Ave Building 105, Suite 1814, Maywood IL 60153-3328. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Dental Providers / Dentist. Dental Providers / Dentist is his primary health care specialty. Weiss, Zachary Jordan can be contacted via phone (888) 584-7888.

Contact Information

Primary practice address
2160 S 1St Ave Building 105, Suite 1814 Maywood IL 60153-3328
Phone: (888) 584-7888
Fax: (708) 216-5560
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Dental Providers / Dentist 122300000X 019030549 Illinois

Profile Details

NPI number 1073908901
LBN Legal business name Weiss, Zachary Jordan
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 30th, 2015
Last updated Feb 22nd, 2018 - about 8 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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