Weidmann, Charles Ernest

Weidmann, Charles Ernest is an individual health care provider with primary practice located at 15243 Vanowen St Suite 306, Van Nuys CA 91405-3649. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Rheumatology. Allopathic & Osteopathic Physicians / Rheumatology is his primary health care specialty. Weidmann, Charles Ernest can be contacted via phone (818) 781-0232.

Contact Information

Primary practice address
15243 Vanowen St Suite 306 Van Nuys CA 91405-3649
Phone: (818) 781-0232
Fax: (818) 781-4132
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X G048620 California
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X G048620 California

Profile Details

NPI number 1851372288
LBN Legal business name Weidmann, Charles Ernest
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 11th, 2005
Last updated Jan 22nd, 2015 - about 9 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 1851372288 NPPES
California MEDICAID 00G486200

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