Weber, Barbara Alice

Weber, Barbara Alice is an individual health care provider with primary practice located at N639 Silver Creek Cascade Rd , Random Lake WI 53075. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Weber, Barbara Alice can be contacted via phone (920) 994-9999.

Contact Information

Primary practice address
N639 Silver Creek Cascade Rd Random Lake WI 53075
Fax: (920) 994-9998
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 39774 Wisconsin

Profile Details

NPI number 1437274925
LBN Legal business name Weber, Barbara Alice
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 21st, 2007
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 1437274925 NPPES
Wisconsin MEDICAID 32420000

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