Weise, Dennis

Weise, Dennis is an individual health care provider with primary practice located at 224 Datura St Ste 414 , West Palm Beach FL 33401-5632. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Weise, Dennis can be contacted via phone (561) 707-6311.

Contact Information

Primary practice address
224 Datura St Ste 414 West Palm Beach FL 33401-5632
Phone: (561) 707-6311
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X PY 3680 Florida
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist 222Q00000X PY3680 Florida
Behavioral Health & Social Service Providers / Clinical 103TC0700X PY3680 Florida

Profile Details

NPI number 1497972855
LBN Legal business name Weise, Dennis
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 19th, 2007
Last updated May 7th, 2019 - about 5 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 1497972855 NPPES
Florida MEDICAID 810932000

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