Weaver, Benjamin Watson

Weaver, Benjamin Watson is an individual health care provider with primary practice located at 1819 N Greenwich Rd Suite B, Wichita KS 67206-3411. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Weaver, Benjamin Watson can be contacted via phone (316) 269-3338.

Contact Information

Primary practice address
1819 N Greenwich Rd Suite B Wichita KS 67206-3411
Phone: (316) 269-3338
Fax: (316) 264-5516
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 1200336 Kansas

Profile Details

NPI number 1083601009
LBN Legal business name Weaver, Benjamin Watson
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2005
Last updated Apr 29th, 2022 - about 3 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1083601009 NPPES
Kansas Other 102715 BC/BS
Kansas MEDICAID 100454970A BC/BS

Popular Providers