Weaver, Marvin V

Weaver, Marvin V is an individual health care provider with primary practice located at 8888 Summa Ave Cardiology Tower 3Rd Floor, Baton Rouge LA 70809-3720. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Weaver, Marvin V can be contacted via phone (225) 769-4493.

Contact Information

Primary practice address
8888 Summa Ave Cardiology Tower 3Rd Floor Baton Rouge LA 70809-3720
Phone: (225) 769-4493
Fax: (225) 766-3144
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 207675 Louisiana
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 269236 New York

Profile Details

NPI number 1801112503
LBN Legal business name Weaver, Marvin V
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 20th, 2010
Last updated Jan 7th, 2016 - about 8 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 1801112503 NPPES
Louisiana MEDICAID 2387405

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