Weaver, Michael Joseph

Weaver, Michael Joseph is an individual health care provider with primary practice located at 300 Medical Pkwy Ste 200 , Chesapeake VA 23320-4985. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Weaver, Michael Joseph can be contacted via phone (757) 625-4455.

Contact Information

Primary practice address
300 Medical Pkwy Ste 200 Chesapeake VA 23320-4985
Phone: (757) 625-4455
Fax: (757) 625-1829
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 0110001534 Virginia

Profile Details

NPI number 1568461648
LBN Legal business name Weaver, Michael Joseph
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2005
Last updated Feb 4th, 2022 - about 2 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 1568461648 NPPES
Virginia MEDICAID 8944938
Virginia Other 58870P
Virginia Other P00025992

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