Weidman, Paul Daniel
Weidman, Paul Daniel is an sole proprietor health care provider with primary practice located at 420 Durant St , South Hill VA 23970-1614. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Addiction Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Weidman, Paul Daniel can be contacted via phone (434) 584-0046.Contact Information
Primary practice address
420 Durant St
South Hill VA 23970-1614
Phone: (434) 584-0046
Fax: (434) 584-0083
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 21733 | West Virginia |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 3584922 | Ohio |
| Allopathic & Osteopathic Physicians / Addiction Medicine | 207QA0401X | 0101261879 | Virginia |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 0101261879 | Virginia |
Profile Details
| NPI number | 1245342765 |
|---|---|
| LBN Legal business name | Weidman, Paul Daniel |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 31st, 2006 |
| Last updated | Mar 17th, 2018 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1245342765 | NPPES |
| West Virginia | MEDICAID | 3810001239 | |
| West Virginia | MEDICAID | 2513917 | |
| West Virginia | Other | 001712686 | |
| West Virginia | Other | P00220382 |
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