Weber, Thomas Richard

Weber, Thomas Richard is an individual health care provider with primary practice located at 621 S New Ballas Rd Suite 6018B, Saint Louis MO 63141-8232. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Surgery, which is considered as his primary health care specialty. Weber, Thomas Richard can be contacted via phone (314) 251-5940.

Contact Information

Primary practice address
621 S New Ballas Rd Suite 6018B Saint Louis MO 63141-8232
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Surgery 2086S0120X 01029263A Indiana
Allopathic & Osteopathic Physicians / Pediatric Surgery 2086S0120X 240390 New York
Allopathic & Osteopathic Physicians / Pediatric Surgery 2086S0120X 036121829 Illinois
Allopathic & Osteopathic Physicians / Pediatric Surgery 2086S0120X 2014039525 Missouri

Profile Details

NPI number 1700808045
LBN Legal business name Weber, Thomas Richard
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 24th, 2006
Last updated Jul 10th, 2015 - about 10 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 1700808045 NPPES
Indiana Other P01291673 RAILROAD MEDICARE
Indiana MEDICAID 201142010 RAILROAD MEDICARE

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