Jack E Weaver, Md Pc

LBN: Jack E Weaver, Md Pc
Jack E Weaver, Md Pc is an health care organization with primary practice located at 209 S 36Th St , Muskogee OK 74401-5043. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as the primary health care specialty. Jack E Weaver, Md Pc can be contacted via phone (918) 682-7717, or through Weaver, Jack E via phone (918) 682-7717.

Contact Information

Primary practice address
209 S 36Th St Muskogee OK 74401-5043
Phone: (918) 682-7717
Fax: (918) 682-9434
Website:
Map and Directions
Authorized official contact:
Name: Weaver, Jack E Doctor of Medicine (MD)
Phone: (918) 682-7717

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207RS0010X

Profile Details

NPI number 1841508918
LBN Legal business name Jack E Weaver, Md Pc
DBA Doing business as
Authorized official Weaver, Jack E Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 22nd, 2010
Last updated Aug 25th, 2015 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1841508918 NPPES
Oklahoma MEDICAID 100088830A

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