Weaver, Michael Dennis

Weaver, Michael Dennis is an individual health care provider with primary practice located at Emile 42Nd St , Omaha NE 68198-0001. He recently has 3 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation is his primary health care specialty. Weaver, Michael Dennis can be contacted via phone (402) 559-8600.

Contact Information

Primary practice address
Emile 42Nd St Omaha NE 68198-0001
Phone: (402) 559-8600
Fax: (402) 559-8940
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 03255 Kentucky
Allopathic & Osteopathic Physicians / Sports Medicine 2081S0010X 03255 Kentucky
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 1593 Nebraska

Profile Details

NPI number 1851432819
LBN Legal business name Weaver, Michael Dennis
Credentials D.O., M.S.
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 10th, 2007
Last updated Feb 17th, 2017 - about 7 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 1851432819 NPPES
Kentucky MEDICAID 7100130950

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