Weis, Kevin James
Weis, Kevin James is an sole proprietor health care provider with primary practice located at 2325 Brookstone Centre Pkwy , Columbus GA 31904-4500. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Child & Adolescent, which is considered as his primary health care specialty. Weis, Kevin James can be contacted via phone (706) 653-6841.Contact Information
Primary practice address
2325 Brookstone Centre Pkwy
Columbus GA 31904-4500
Phone: (706) 653-6841
Fax: (706) 653-7843
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical Child & Adolescent | 103TC2200X | PSY003142 | Georgia |
Profile Details
NPI number | 1699791541 |
---|---|
LBN Legal business name | Weis, Kevin James |
Credentials | PSY.D. |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jul 14th, 2006 |
Last updated | Jan 12th, 2010 - about 15 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 | 1699791541 | NPPES |
Florida | Other | 54641 | BLUECROSSBLUESHIELD |
Florida | Other | 7761336 | BLUECROSSBLUESHIELD |
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