Weller, Jeffrey C

Weller, Jeffrey C is an individual health care provider with primary practice located at 303 W 8Th St , Port Angeles WA 98362. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Weller, Jeffrey C can be contacted via phone (360) 457-8578.

Contact Information

Primary practice address
303 W 8Th St Port Angeles WA 98362
Fax: (360) 457-4841
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD00037703 Washington

Profile Details

NPI number 1457302630
LBN Legal business name Weller, Jeffrey C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 13th, 2006
Last updated Jul 27th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1457302630 NPPES
Washington MEDICAID 8256521

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