Weaver, Jere H

Weaver, Jere H is an individual health care provider with primary practice located at 722 Bank St Ne , Decatur AL 35601-1610. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Weaver, Jere H can be contacted via phone (256) 351-1874.

Contact Information

Primary practice address
722 Bank St Ne Decatur AL 35601-1610
Phone: (256) 351-1874
Fax: (256) 351-1876
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 11631 Alabama

Profile Details

NPI number 1265436067
LBN Legal business name Weaver, Jere H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2005
Last updated Sep 23rd, 2013 - about 12 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 1265436067 NPPES
Alabama Other 51025264 BLUE CROSS PROVIDER NUMBE
Alabama MEDICAID 009912888 BLUE CROSS PROVIDER NUMBE
Alabama Other 4585899 BLUE CROSS PROVIDER NUMBE
Alabama Other 01-12771 BLUE CROSS PROVIDER NUMBE
Alabama Other 010050478 BLUE CROSS PROVIDER NUMBE
Alabama Other 515-97711 BLUE CROSS PROVIDER NUMBE

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