Weaver, Mark L

Weaver, Mark L is an individual health care provider with primary practice located at 317 N. Faler Ave , Pinedale WY 82941. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Weaver, Mark L can be contacted via phone (307) 367-6236.

Contact Information

Primary practice address
317 N. Faler Ave Pinedale WY 82941
Phone: (307) 367-6236
Fax: (307) 367-3332
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT-642 Wyoming

Profile Details

NPI number 1801949045
LBN Legal business name Weaver, Mark L
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 19th, 2007
Last updated Nov 17th, 2015 - about 9 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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