Weaver, Terry Dean
Weaver, Terry Dean is an individual health care provider with primary practice located at 602 1St St Ne Ste 1 , Wessington Springs SD 57382-2163. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Geriatric Medicine, Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine. Allopathic & Osteopathic Physicians / Geriatric Medicine is his primary health care specialty. Weaver, Terry Dean can be contacted via phone (605) 539-1778.Contact Information
Primary practice address
602 1St St Ne Ste 1
Wessington Springs SD 57382-2163
Phone: (605) 539-1778
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Geriatric Medicine | 207QG0300X | E-3438 | Arkansas |
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine | 207QH0002X | E-3438 | Arkansas |
Profile Details
NPI number | 1528063997 |
---|---|
LBN Legal business name | Weaver, Terry Dean |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 14th, 2005 |
Last updated | Mar 10th, 2020 - 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1528063997 | NPPES |
New Mexico | Other | MD2018-0286 | NMMB LICENSE |
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