Weber, Jill Marie

Weber, Jill Marie is an individual health care provider with primary practice located at 31099 Chagrin Blvd Suite 100, Pepper Pike OH 44124-5958. She recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as her primary health care specialty. Weber, Jill Marie can be contacted via phone (216) 450-5888.

Contact Information

Primary practice address
31099 Chagrin Blvd Suite 100 Pepper Pike OH 44124-5958
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 30-023327 Ohio
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 019.028200 Illinois

Profile Details

NPI number 1407021496
LBN Legal business name Weber, Jill Marie
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 29th, 2008
Last updated Jun 10th, 2013 - about 12 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 1407021496 NPPES
Ohio MEDICAID 3075390

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