Weaver, Jane M
Weaver, Jane M is an individual health care provider with primary practice located at 11141 Parkview Plaza Dr Ste 305 , Fort Wayne IN 46845-1715. She recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as her primary health care specialty. Weaver, Jane M can be contacted via phone (260) 484-9611.Contact Information
Primary practice address
11141 Parkview Plaza Dr Ste 305
Fort Wayne IN 46845-1715
Phone: (260) 484-9611
Fax: (260) 484-1004
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 01049799A | Indiana |
Profile Details
| NPI number | 1316948920 |
|---|---|
| LBN Legal business name | Weaver, Jane M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 4th, 2005 |
| Last updated | May 29th, 2009 - about 15 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 | 1316948920 | NPPES |
| Indiana | MEDICAID | 200196440 | |
| Indiana | Other | 020041807 | |
| Indiana | MEDICAID | 2107455 | |
| Indiana | MEDICAID | 104435211 |
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