Weber, Nicholas

Weber, Nicholas is an individual health care provider with primary practice located at 4800 Mexico Rd Suite 104, Saint Peters MO 63376-1666. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Weber, Nicholas can be contacted via phone (636) 939-9540.

Contact Information

Primary practice address
4800 Mexico Rd Suite 104 Saint Peters MO 63376-1666
Phone: (636) 939-9540
Fax: (636) 939-9886
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 2005017285 Missouri

Profile Details

NPI number 1063466019
LBN Legal business name Weber, Nicholas
Credentials Master of Physical Therapy (MPT)
Entity Individual
Sole proprietor 1 No
Enumeration date May 22nd, 2006
Last updated May 12th, 2016 - about 9 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 1063466019 NPPES
Missouri Other 11543068 CAQH
Missouri Other P00388087 CAQH

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