Weaver, Anthony D

Weaver, Anthony D is an individual health care provider with primary practice located at 60 Mack Walters Rd , Shelbyville KY 40065-1738. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Weaver, Anthony D can be contacted via phone (502) 633-4622.

Contact Information

Primary practice address
60 Mack Walters Rd Shelbyville KY 40065-1738
Phone: (502) 633-4622
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 24528 Kentucky

Profile Details

NPI number 1952412454
LBN Legal business name Weaver, Anthony D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2006
Last updated Aug 3rd, 2020 - about 4 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 1952412454 NPPES
Kentucky Other 000000186862 BLUE CROSS INDIVIDUAL
Kentucky MEDICAID 64245285 BLUE CROSS INDIVIDUAL
Kentucky MEDICAID 65906844 BLUE CROSS INDIVIDUAL

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