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:
Health care specialties
| Specialty | Code | License # | 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 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1215995097 | NPPES |
| Rhode Island | MEDICAID | MW01082 |
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