Weisenberger, Matthew

Weisenberger, Matthew is an sole proprietor health care provider with primary practice located at 4381 S Eason Blvd , Tupelo MS 38801-6583. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Weisenberger, Matthew can be contacted via phone (662) 377-7215.

Contact Information

Primary practice address
4381 S Eason Blvd Tupelo MS 38801-6583
Phone: (662) 377-7215
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X AT 0143 Mississippi

Profile Details

NPI number 1366645558
LBN Legal business name Weisenberger, Matthew
Credentials Athletic Trainer, Certified (ATC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 6th, 2007
Last updated Jul 8th, 2007 - about 18 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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