Weisenberg, Judith Leona

Weisenberg, Judith Leona is an individual health care provider with primary practice located at 1 Childrens Pl Div Neurology Pediatrics, Saint Louis MO 63110-1002. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology. Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology is her primary health care specialty. Weisenberg, Judith Leona can be contacted via phone (314) 362-1408.

Contact Information

Primary practice address
1 Childrens Pl Div Neurology Pediatrics Saint Louis MO 63110-1002
Phone: (314) 362-1408
Fax: (314) 454-2523
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 2009008016 Missouri
Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology 2084N0402X 2009008016 Missouri

Profile Details

NPI number 1932360245
LBN Legal business name Weisenberg, Judith Leona
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 19th, 2008
Last updated Apr 25th, 2024 - about 8 months 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 1932360245 NPPES
Missouri MEDICAID 209189406

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