Weber, Nita B

Weber, Nita B is an individual health care provider with primary practice located at 300 S 3Rd W , Soda Springs ID 83276-1559. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Weber, Nita B can be contacted via phone (208) 547-3118.

Contact Information

Primary practice address
300 S 3Rd W Soda Springs ID 83276-1559
Phone: (208) 547-3118
Fax: (208) 547-2798
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 4864584 Utah
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X O-0472 Idaho

Profile Details

NPI number 1366542052
LBN Legal business name Weber, Nita B
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 23rd, 2006
Last updated Oct 12th, 2022 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366542052 NPPES
Idaho MEDICAID 1548930878

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