Weckesser, Barry J.

Weckesser, Barry J. is an individual health care provider with primary practice located at 1370 E Venice Ave Suite 102, Venice FL 34285-9082. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Weckesser, Barry J. can be contacted via phone (941) 412-0026.

Contact Information

Primary practice address
1370 E Venice Ave Suite 102 Venice FL 34285-9082
Phone: (941) 412-0026
Fax: (941) 412-0027
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X ME15557 Florida

Profile Details

NPI number 1194719120
LBN Legal business name Weckesser, Barry J.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 6th, 2005
Last updated Jul 25th, 2012 - about 12 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 1194719120 NPPES
Florida Other 14622 BCBS
Florida Other 202641604 BCBS
Florida MEDICAID 370246400 BCBS

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