Weisman, Kenneth

Weisman, Kenneth is an sole proprietor health care provider with primary practice located at 400 Matthew St Suite 303, Marietta OH 45750-1644. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Weisman, Kenneth can be contacted via phone (740) 373-7828.

Contact Information

Primary practice address
400 Matthew St Suite 303 Marietta OH 45750-1644
Phone: (740) 373-7828
Fax: (740) 373-5898
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 47702 Connecticut
Allopathic & Osteopathic Physicians / Urology 208800000X 35.097897 Ohio

Profile Details

NPI number 1194785642
LBN Legal business name Weisman, Kenneth
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 27th, 2006
Last updated Aug 14th, 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 1194785642 NPPES
Ohio Other 000000728272 ANTHEM
Ohio MEDICAID 0052750 ANTHEM
Ohio MEDICAID 3810021225 ANTHEM
Ohio Other P01216329 ANTHEM
Ohio Other 000000727239 ANTHEM

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