Weingarten, Jeffrey L
Weingarten, Jeffrey L is an individual health care provider with primary practice located at 2799 W Grand Blvd , Detroit MI 48202-2608. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Urology, Other Service Providers / Specialist. Allopathic & Osteopathic Physicians / Urology is his primary health care specialty. Weingarten, Jeffrey L can be contacted via phone (800) 653-6568.Contact Information
Primary practice address
2799 W Grand Blvd
Detroit MI 48202-2608
Phone: (800) 653-6568
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Urology | 208800000X | 4301402858 | Michigan |
Other Service Providers / Specialist | 174400000X | JW402858 | Michigan |
Profile Details
NPI number | 1568466258 |
---|---|
LBN Legal business name | Weingarten, Jeffrey L |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 9th, 2005 |
Last updated | Sep 22nd, 2020 - about 4 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 | 1568466258 | NPPES |
Michigan | MEDICAID | 2823213 | |
Michigan | Other | JW402858 |
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