Weaver, David D
Weaver, David D is an individual health care provider with primary practice located at 975 W Walnut St Ib 130, Indianapolis IN 46202-5181. He recently has only one registered license in Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.), which is considered as his primary health care specialty. Weaver, David D can be contacted via phone (317) 274-3966.Contact Information
Primary practice address
975 W Walnut St Ib 130
Indianapolis IN 46202-5181
Phone: (317) 274-3966
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.) | 207SG0201X | 01026914 | Indiana |
Profile Details
| NPI number | 1508822545 |
|---|---|
| LBN Legal business name | Weaver, David D |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 26th, 2006 |
| Last updated | Feb 5th, 2016 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1508822545 | NPPES |
| Indiana | MEDICAID | 100059190 |
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