Weibust, Ingrid H

Weibust, Ingrid H is an individual health care provider with primary practice located at Building 130193T A Street Box 55020, Camp Pendleton CA 92055-5020. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Weibust, Ingrid H can be contacted via phone (760) 725-8301.

Contact Information

Primary practice address
Building 130193T A Street Box 55020 Camp Pendleton CA 92055-5020
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 211995 Massachusetts
Behavioral Health & Social Service Providers / Clinical 1041C0700X 113318 Massachusetts
Behavioral Health & Social Service Providers / Clinical 1041C0700X LCSW62396 California

Profile Details

NPI number 1134272073
LBN Legal business name Weibust, Ingrid H
Credentials LICSW
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 22nd, 2007
Last updated Mar 27th, 2024 - about 9 months 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 1134272073 NPPES
Massachusetts MEDICAID 1312294

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