Weiss, Michael B

Weiss, Michael B is an individual health care provider with primary practice located at 14 South Cedar St , Hazleton PA 18201-6602. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Weiss, Michael B can be contacted via phone (570) 455-6275.

Contact Information

Primary practice address
14 South Cedar St Hazleton PA 18201-6602
Phone: (570) 455-6275
Fax: (570) 455-6276
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X DS021559L Pennsylvania

Profile Details

NPI number 1528175494
LBN Legal business name Weiss, Michael B
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 24th, 2006
Last updated Mar 4th, 2013 - about 11 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 1528175494 NPPES
Other 91848 UNISON HEALTH PLAN
Other 0008010 UNISON HEALTH PLAN
MEDICAID 000769058 UNISON HEALTH PLAN
Other 137905 UNISON HEALTH PLAN

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