Weaver, Douglas S

Weaver, Douglas S is an individual health care provider with primary practice located at 326 4Th St Ste 205, Juneau AK 99801-1146. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Weaver, Douglas S can be contacted via phone (907) 586-3220.

Contact Information

Primary practice address
326 4Th St Ste 205 Juneau AK 99801-1146
Phone: (907) 586-3220
Fax: (907) 586-2905
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 492 Alaska

Profile Details

NPI number 1447226360
LBN Legal business name Weaver, Douglas S
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 28th, 2006
Last updated Jul 9th, 2007 - about 18 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 1447226360 NPPES
Alaska MEDICAID DD0492
Alaska Other 1437281094

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