Weigle, Mark R

Weigle, Mark R is an sole proprietor health care provider with primary practice located at 140 Lockwood Ave # A Suite #2, New Rochelle NY 10801-4915. He recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as his primary health care specialty. Weigle, Mark R can be contacted via phone (914) 636-4466.

Contact Information

Primary practice address
140 Lockwood Ave # A Suite #2 New Rochelle NY 10801-4915
Phone: (914) 636-4466
Fax: (914) 636-0611
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 2110991 New York

Profile Details

NPI number 1700896487
LBN Legal business name Weigle, Mark R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 8th, 2006
Last updated Mar 19th, 2008 - about 16 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 1700896487 NPPES
New York MEDICAID 02068720

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