Weaver, Debra J
Weaver, Debra J is an sole proprietor health care provider with primary practice located at 6614 Southern Blvd , Boardman OH 44512-3455. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Weaver, Debra J can be contacted via phone (330) 726-8855.Contact Information
Primary practice address
6614 Southern Blvd
Boardman OH 44512-3455
Phone: (330) 726-8855
Fax: (330) 725-6918
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | SP3548 | Ohio |
Profile Details
| NPI number | 1396909628 |
|---|---|
| LBN Legal business name | Weaver, Debra J |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 16th, 2008 |
| Last updated | Jul 16th, 2008 - about 16 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 | 1396909628 | NPPES |
| Ohio | Other | 11738249 | CAQH |
| Ohio | Other | 000000175078 | CAQH |
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