Weaver, Sharon R

Weaver, Sharon R is an individual health care provider with primary practice located at 1302 Franklin Ave Suite 3400, Normal IL 61761-3551. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Weaver, Sharon R can be contacted via phone (309) 451-9595.

Contact Information

Primary practice address
1302 Franklin Ave Suite 3400 Normal IL 61761-3551
Fax: (309) 451-9583
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 036076443 Illinois

Profile Details

NPI number 1215049416
LBN Legal business name Weaver, Sharon R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2006
Last updated Jul 8th, 2007 - about 17 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 1215049416 NPPES
Illinois MEDICAID 036076443

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