Weaver, Robert D

Weaver, Robert D is an individual health care provider with primary practice located at 6551 Wilson Mills Rd Suite #104, Mayfield Village OH 44143-3495. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Weaver, Robert D can be contacted via phone (440) 442-3113.

Contact Information

Primary practice address
6551 Wilson Mills Rd Suite #104 Mayfield Village OH 44143-3495
Phone: (440) 442-3113
Fax: (440) 442-5137
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 2892 Ohio

Profile Details

NPI number 1760461784
LBN Legal business name Weaver, Robert D
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 10th, 2006
Last updated Dec 3rd, 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 1760461784 NPPES
Ohio Other 000000210901 ANTHEMBCBS
Ohio MEDICAID 0257583 ANTHEMBCBS

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