Weight, Jed Ryan
Weight, Jed Ryan is an individual health care provider with primary practice located at 1001 Noble St , Fairbanks AK 99701-4922. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Weight, Jed Ryan can be contacted via phone (907) 459-3570.Contact Information
Primary practice address
1001 Noble St
Fairbanks AK 99701-4922
Phone: (907) 459-3570
Fax: (907) 459-3526
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 7183 | Alaska |
Profile Details
NPI number | 1194980680 |
---|---|
LBN Legal business name | Weight, Jed Ryan |
Credentials | Doctor of Osteopathy (DO) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 23rd, 2008 |
Last updated | Mar 7th, 2023 - about 2 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 | 1194980680 | NPPES |
Alaska | MEDICAID | 1574695 |
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