Weiss, Michael D
Weiss, Michael D is an individual health care provider with primary practice located at 1020 N Mason Rd Div Surg Accs Podiatry, Ste 225, Saint Louis MO 63141-6666. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Weiss, Michael D can be contacted via phone (314) 747-4769.Contact Information
Primary practice address
1020 N Mason Rd Div Surg Accs Podiatry, Ste 225
Saint Louis MO 63141-6666
Phone: (314) 747-4769
Fax: (888) 824-2176
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | 000467 | Missouri |
Profile Details
NPI number | 1659354058 |
---|---|
LBN Legal business name | Weiss, Michael D |
Credentials | Doctor of Podiatric Medicine (DPM) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Nov 21st, 2005 |
Last updated | Apr 25th, 2024 - about 5 months 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1659354058 | NPPES |
Missouri | MEDICAID | 301750006 |
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