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
Fax: (614) 293-8153
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457318586 NPPES
Ohio MEDICAID 0408624

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