Weber, Mark Wayne
Weber, Mark Wayne is an individual health care provider with primary practice located at 515 E 1St St , Salida CO 81201-2805. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Weber, Mark Wayne can be contacted via phone (719) 539-5381.Contact Information
Primary practice address
515 E 1St St
Salida CO 81201-2805
Phone: (719) 539-5381
Fax: (719) 539-4992
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 19195 | Colorado |
Profile Details
| NPI number | 1972591261 |
|---|---|
| LBN Legal business name | Weber, Mark Wayne |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 11th, 2005 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1972591261 | NPPES |
| Colorado | MEDICAID | 01191956 |
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