Weaver, Leon D

Weaver, Leon D is an individual health care provider with primary practice located at 1161 Omega Dr , Hagerstown MD 21740-5574. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Adolescent Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Adolescent Medicine is his primary health care specialty. Weaver, Leon D can be contacted via phone (301) 393-2600.

Contact Information

Primary practice address
1161 Omega Dr Hagerstown MD 21740-5574
Phone: (301) 393-2600
Fax: (301) 393-2614
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X D57280 Maryland
Allopathic & Osteopathic Physicians / Pediatrics 208000000X D57280 Maryland

Profile Details

NPI number 1255323119
LBN Legal business name Weaver, Leon D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 17th, 2005
Last updated Feb 15th, 2013 - about 11 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 1255323119 NPPES
Maryland MEDICAID 982000100

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