Weizenbach, Gerald

Weizenbach, Gerald is an individual health care provider with primary practice located at 1400 Emeline Ave , Santa Cruz CA 95060-1976. He recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as his primary health care specialty. Weizenbach, Gerald can be contacted via phone (831) 454-4170.

Contact Information

Primary practice address
1400 Emeline Ave Santa Cruz CA 95060-1976
Phone: (831) 454-4170
Fax: (831) 454-4663
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 754650 California

Profile Details

NPI number 1700241973
LBN Legal business name Weizenbach, Gerald
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 15th, 2015
Last updated Dec 15th, 2015 - about 11 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 1700241973 NPPES
California Other ZZZ91892Z SANTA CRUZ COUNTY MEDICARE GROUP PTAN#
California Other FHC 70042F SANTA CRUZ COUNTY MEDICARE GROUP PTAN#
California Other ZZZ92069Z SANTA CRUZ COUNTY MEDICARE GROUP PTAN#
California Other ZZZ91891Z SANTA CRUZ COUNTY MEDICARE GROUP PTAN#

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