Weicker, Cristin A

Weicker, Cristin A is an individual health care provider with primary practice located at 205 E Laurel Blvd , Pottsville PA 17901-2534. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Weicker, Cristin A can be contacted via phone (570) 622-1887.

Contact Information

Primary practice address
205 E Laurel Blvd Pottsville PA 17901-2534
Phone: (570) 622-1887
Fax: (570) 622-1959
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X OS013220 Pennsylvania

Profile Details

NPI number 1114910320
LBN Legal business name Weicker, Cristin A
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 24th, 2005
Last updated Feb 26th, 2017 - about 7 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 1114910320 NPPES
Pennsylvania MEDICAID 1013949780001
Pennsylvania Other P00232917

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