Weber, Russell Scott

Weber, Russell Scott is an individual health care provider with primary practice located at 750 E Beltline Ave Ne , Grand Rapids MI 49525-6049. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Weber, Russell Scott can be contacted via phone (616) 949-2600.

Contact Information

Primary practice address
750 E Beltline Ave Ne Grand Rapids MI 49525-6049
Phone: (616) 949-2600
Fax: (616) 365-2076
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 4301059811 Michigan

Profile Details

NPI number 1336147537
LBN Legal business name Weber, Russell Scott
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2005
Last updated Jun 9th, 2008 - about 16 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 1336147537 NPPES
Michigan MEDICAID 2848052
Michigan Other 180D148331
Michigan Other 180014764

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