Weiderman, William C

Weiderman, William C is an sole proprietor health care provider with primary practice located at 3200 Walford Ave , Eureka CA 95503-4828. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Weiderman, William C can be contacted via phone (707) 445-3443.

Contact Information

Primary practice address
3200 Walford Ave Eureka CA 95503-4828
Fax: (707) 445-1848
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X A43902 California

Profile Details

NPI number 1114992971
LBN Legal business name Weiderman, William C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 22nd, 2006
Last updated Apr 12th, 2013 - about 11 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 1114992971 NPPES
California MEDICAID 00A439020

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