Weaver, Joel M
Weaver, Joel M is an individual health care provider with primary practice located at 410 West Tenth Avenue N429 Doan Hall, Columbus OH 43210. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Allopathic & Osteopathic Physicians / Anesthesiology. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Weaver, Joel M can be contacted via phone (614) 293-8487.Contact Information
Primary practice address
410 West Tenth Avenue N429 Doan Hall
Columbus OH 43210
Phone: (614) 293-8487
Fax: (614) 293-8153
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Dentist | 122300000X | 30.014176 | Ohio |
Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 30014176 | Ohio |
Profile Details
NPI number | 1457318586 |
---|---|
LBN Legal business name | Weaver, Joel M |
Credentials | DDS PHD |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 1st, 2006 |
Last updated | Dec 11th, 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 | 1457318586 | NPPES |
Ohio | MEDICAID | 0408624 |
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