Weitz, Brian C

Weitz, Brian C is an individual health care provider with primary practice located at 15650 Cedar Ave , Apple Valley MN 55124-7283. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Weitz, Brian C can be contacted via phone (952) 997-4100.

Contact Information

Primary practice address
15650 Cedar Ave Apple Valley MN 55124-7283
Phone: (952) 997-4100
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 5307 Montana
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 52906 Minnesota

Profile Details

NPI number 1790786564
LBN Legal business name Weitz, Brian C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 3rd, 2005
Last updated Jun 22nd, 2012 - about 14 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 1790786564 NPPES
Montana MEDICAID 0100045

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