Weaver, Michael James

Weaver, Michael James is an individual health care provider with primary practice located at 553 Kingstown Rd , Wakefield RI 02879-3600. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Weaver, Michael James can be contacted via phone (401) 304-9111.

Contact Information

Primary practice address
553 Kingstown Rd Wakefield RI 02879-3600
Phone: (401) 304-9111
Fax: (401) 284-0625
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 05003 Rhode Island
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 5003 Rhode Island

Profile Details

NPI number 1215995097
LBN Legal business name Weaver, Michael James
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 2nd, 2006
Last updated Aug 28th, 2019 - about 5 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 1215995097 NPPES
Rhode Island MEDICAID MW01082

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