Weiss, Larry

Weiss, Larry is an sole proprietor health care provider with primary practice located at 17421 Greenfield , Detroit MI 48235. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Weiss, Larry can be contacted via phone (313) 273-7091.

Contact Information

Primary practice address
17421 Greenfield Detroit MI 48235
Phone: (313) 273-7091
Fax: (313) 273-7694
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 382244642 Michigan

Profile Details

NPI number 1851325294
LBN Legal business name Weiss, Larry
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 10th, 2006
Last updated Feb 12th, 2010 - about 14 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 1851325294 NPPES
Michigan Other 382244642 TAX ID
Michigan MEDICAID 1485013 TAX ID

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