Weaver, Rose Marie
Weaver, Rose Marie is an sole proprietor health care provider with primary practice located at 15850 A Dam Road , Clearlake CA 95422. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Weaver, Rose Marie can be contacted via phone (707) 994-6447.Contact Information
Primary practice address
15850 A Dam Road
Clearlake CA 95422
Phone: (707) 994-6447
Fax: (707) 994-1875
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | A3727897 | California |
Profile Details
| NPI number | 1699813469 |
|---|---|
| LBN Legal business name | Weaver, Rose Marie |
| Credentials | CADC-II |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 2nd, 2007 |
| Last updated | Oct 5th, 2009 - about 15 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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