Weiss, Jerome M

Weiss, Jerome M is an individual health care provider with primary practice located at 1409 E Briggsmore Ave , Modesto CA 95355-2707. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Weiss, Jerome M can be contacted via phone (209) 550-4725.

Contact Information

Primary practice address
1409 E Briggsmore Ave Modesto CA 95355-2707
Phone: (209) 550-4725
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X C33737 California

Profile Details

NPI number 1992745251
LBN Legal business name Weiss, Jerome M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 7th, 2006
Last updated Nov 23rd, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992745251 NPPES
California MEDICAID 00C337370

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