Weitzman, Douglas K
Weitzman, Douglas K is an individual health care provider with primary practice located at 20209 Sentara Way Ste 200 , Carrollton VA 23314-3574. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Weitzman, Douglas K can be contacted via phone (757) 542-2000.Contact Information
Primary practice address
20209 Sentara Way Ste 200
Carrollton VA 23314-3574
Phone: (757) 542-2000
Fax: (757) 542-2001
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 0101040484 | Virginia |
Profile Details
| NPI number | 1174507164 |
|---|---|
| LBN Legal business name | Weitzman, Douglas K |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 2nd, 2005 |
| Last updated | Aug 28th, 2020 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1174507164 | NPPES |
| Virginia | Other | 381159 | ANTHEM PROVIDER NUMBER |
| Virginia | MEDICAID | 7300743 | ANTHEM PROVIDER NUMBER |
| Virginia | Other | 41040 | ANTHEM PROVIDER NUMBER |
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