Weintraub, Scott A.

Weintraub, Scott A. is an individual health care provider with primary practice located at 5875 E Riverside Blvd , Rockford IL 61114-4937. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Weintraub, Scott A. can be contacted via phone (815) 398-9491.

Contact Information

Primary practice address
5875 E Riverside Blvd Rockford IL 61114-4937
Fax: (815) 381-7498
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 036-092942 Illinois

Profile Details

NPI number 1861541567
LBN Legal business name Weintraub, Scott A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 10th, 2007
Last updated Sep 7th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1861541567 NPPES
Illinois MEDICAID 036092942

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