Weber, Raymond K

Weber, Raymond K is an individual health care provider with primary practice located at 3 Junction Dr W , Glen Carbon IL 62034-2916. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Weber, Raymond K can be contacted via phone (618) 288-5088.

Contact Information

Primary practice address
3 Junction Dr W Glen Carbon IL 62034-2916
Phone: (618) 288-5088
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 03657934 Illinois

Profile Details

NPI number 1992702286
LBN Legal business name Weber, Raymond K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 1st, 2005
Last updated Apr 7th, 2011 - about 13 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 1992702286 NPPES
Illinois MEDICAID 036057934
Illinois Other 080021117
Illinois Other 4622029
Illinois Other N4885
Illinois Other 0107334
Illinois Other 119335

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