Weaver, Joanne T
Weaver, Joanne T is an individual health care provider with primary practice located at 440 Edmond Dr , Dyer IN 46311-1523. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Weaver, Joanne T can be contacted via phone (219) 322-1415.Contact Information
Primary practice address
440 Edmond Dr
Dyer IN 46311-1523
Phone: (219) 322-1415
Fax: (219) 322-1414
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 05006632A | Indiana |
Profile Details
| NPI number | 1891743282 |
|---|---|
| LBN Legal business name | Weaver, Joanne T |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 5th, 2006 |
| Last updated | Sep 2nd, 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 | 1891743282 | NPPES |
| Indiana | MEDICAID | 200645630 |
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