Weidle, Wesley D

Weidle, Wesley D is an individual health care provider with primary practice located at 2912 Springboro W Ste 201 , Moraine OH 45439-1674. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Medical is his primary health care specialty. Weidle, Wesley D can be contacted via phone (937) 855-6006.

Contact Information

Primary practice address
2912 Springboro W Ste 201 Moraine OH 45439-1674
Phone: (937) 855-6006
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 50.005416RX Ohio
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA61039111 Washington

Profile Details

NPI number 1689182529
LBN Legal business name Weidle, Wesley D
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 12th, 2018
Last updated Feb 15th, 2022 - about 3 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 1689182529 NPPES
Ohio MEDICAID 0328080

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