Weiss, Ronald A
Weiss, Ronald A is an individual health care provider with primary practice located at 2 Good Samaritan Way Ste 220 , Mount Vernon IL 62864-2476. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Weiss, Ronald A can be contacted via phone (618) 899-3900.Contact Information
Primary practice address
2 Good Samaritan Way Ste 220
Mount Vernon IL 62864-2476
Phone: (618) 899-3900
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | MC-1634 | Idaho |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | R7G95 | Missouri |
Profile Details
| NPI number | 1871548990 |
|---|---|
| LBN Legal business name | Weiss, Ronald A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 24th, 2006 |
| Last updated | Sep 27th, 2022 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1871548990 | NPPES |
| Missouri | Other | 060025804 | RAILROAD MEDICARE |
| Missouri | MEDICAID | 206985202 | RAILROAD MEDICARE |
| Missouri | Other | 036075861 | RAILROAD MEDICARE |
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