Weber, Nicholas Keith
Weber, Nicholas Keith is an individual health care provider with primary practice located at 209 Lilly Rd Ne , Olympia WA 98506-5030. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Gastroenterology. Allopathic & Osteopathic Physicians / Gastroenterology is his primary health care specialty. Weber, Nicholas Keith can be contacted via phone (360) 413-8250.Contact Information
Primary practice address
209 Lilly Rd Ne
Olympia WA 98506-5030
Phone: (360) 413-8250
Fax: (360) 413-8830
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD60445962 | Washington |
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | MD60445962 | Washington |
Profile Details
| NPI number | 1164544953 |
|---|---|
| LBN Legal business name | Weber, Nicholas Keith |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 4th, 2007 |
| Last updated | Apr 21st, 2021 - about 3 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 | 1164544953 | NPPES |
| Washington | Other | 326227 | STATE L&I |
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