Weber, Jeff
Weber, Jeff is an sole proprietor health care provider with primary practice located at 4411 Suwanee Dam Road Ste. 920, Suwanee GA 30024-8711. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Weber, Jeff can be contacted via phone (678) 714-9590.Contact Information
Primary practice address
4411 Suwanee Dam Road Ste. 920
Suwanee GA 30024-8711
Phone: (678) 714-9590
Fax: (678) 714-4953
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 2094 | Georgia |
Profile Details
| NPI number | 1073656054 |
|---|---|
| LBN Legal business name | Weber, Jeff |
| Credentials | ED.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 15th, 2007 |
| Last updated | Jul 9th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1073656054 | NPPES |
| Georgia | MEDICAID | 00772054E |
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