Weaver, Kent E

Weaver, Kent E is an individual health care provider with primary practice located at 26726 Crown Valley Pkwy #210, Mission Viejo CA 92691-8006. He recently has 2 registered licenses in different health care specialties including Speech, Language and Hearing Service Providers / Audiologist, Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter. Speech, Language and Hearing Service Providers / Audiologist is his primary health care specialty. Weaver, Kent E can be contacted via phone (959) 364-4361.

Contact Information

Primary practice address
26726 Crown Valley Pkwy #210 Mission Viejo CA 92691-8006
Phone: (959) 364-4361
Fax: (949) 364-7124
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 00461 Iowa
Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter 237600000X 00744 Iowa
Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter 237600000X AU3093 California
Speech, Language and Hearing Service Providers / Audiologist 231H00000X AU3093 California

Profile Details

NPI number 1336279157
LBN Legal business name Weaver, Kent E
Credentials AUD
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 7th, 2007
Last updated Oct 24th, 2018 - about 6 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 1336279157 NPPES
Iowa MEDICAID 0262824

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