Weaver, Paul Gerald
Weaver, Paul Gerald is an individual health care provider with primary practice located at 1275 Wallace Rd Nw , Salem OR 97304-3007. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Weaver, Paul Gerald can be contacted via phone (503) 371-3232.Contact Information
Primary practice address
1275 Wallace Rd Nw
Salem OR 97304-3007
Phone: (503) 371-3232
Fax: (503) 375-2398
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | D016350 | Oregon |
Profile Details
| NPI number | 1053311191 |
|---|---|
| LBN Legal business name | Weaver, Paul Gerald |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 29th, 2005 |
| Last updated | Apr 28th, 2016 - about 9 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 | 1053311191 | NPPES |
| Oregon | MEDICAID | 288192 |
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