Weidner, Philip Louis

Weidner, Philip Louis is an individual health care provider with primary practice located at 1233 N Northwood Center Ct Ste 101 , Coeur D Alene ID 83814-6190. He recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Weidner, Philip Louis can be contacted via phone (208) 457-4211.

Contact Information

Primary practice address
1233 N Northwood Center Ct Ste 101 Coeur D Alene ID 83814-6190
Phone: (208) 457-4211
Fax: (208) 773-1473
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA-2065 Idaho
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA-2065 Idaho
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA60191252 Washington
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA-2065 Idaho

Profile Details

NPI number 1295037844
LBN Legal business name Weidner, Philip Louis
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 1st, 2010
Last updated Dec 22nd, 2023 - about last year

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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