Weaver, Jeffrey G
Weaver, Jeffrey G is an sole proprietor health care provider with primary practice located at 2790 Mosside Blvd Suite 105, Monroeville PA 15146-2743. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery, Allopathic & Osteopathic Physicians / Procedural Dermatology. Allopathic & Osteopathic Physicians / Dermatology is his primary health care specialty. Weaver, Jeffrey G can be contacted via phone (412) 372-2277.Contact Information
Primary practice address
2790 Mosside Blvd Suite 105
Monroeville PA 15146-2743
Phone: (412) 372-2277
Fax: (412) 373-2307
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | OS004202L | Pennsylvania |
| Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery | 207ND0101X | OS004202L | Pennsylvania |
| Allopathic & Osteopathic Physicians / Procedural Dermatology | 207NS0135X | OS004202L | Pennsylvania |
Profile Details
| NPI number | 1457344640 |
|---|---|
| LBN Legal business name | Weaver, Jeffrey G |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 24th, 2005 |
| Last updated | May 27th, 2022 - about 2 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 | 1457344640 | NPPES |
| Pennsylvania | Other | 097240 | BLUESHIELD |
| Pennsylvania | MEDICAID | 0010428650006 | BLUESHIELD |
| Pennsylvania | Other | 070012504 | BLUESHIELD |
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