Weidner, Sandra L
Weidner, Sandra L is an individual health care provider with primary practice located at 2240 Ridgewood Rd Ste 100, Wyomissing PA 19610-1167. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Weidner, Sandra L can be contacted via phone (610) 376-8691.Contact Information
Primary practice address
2240 Ridgewood Rd Ste 100
Wyomissing PA 19610-1167
Phone: (610) 376-8691
Fax: (610) 376-8745
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | MD041246E | Pennsylvania |
Profile Details
| NPI number | 1629074943 |
|---|---|
| LBN Legal business name | Weidner, Sandra L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 22nd, 2005 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1629074943 | NPPES |
| Pennsylvania | Other | 06036 | EPSDT |
| Pennsylvania | MEDICAID | 1123140 | EPSDT |
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