Weiss, Theodore

Weiss, Theodore is an sole proprietor health care provider with primary practice located at 100 E Lancaster Ave 116 Lankenau Medical Building South, Wynnewood PA 19096-3450. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Weiss, Theodore can be contacted via phone (610) 649-7006.

Contact Information

Primary practice address
100 E Lancaster Ave 116 Lankenau Medical Building South Wynnewood PA 19096-3450
Phone: (610) 649-7006
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X MD014735E Pennsylvania

Profile Details

NPI number 1083634257
LBN Legal business name Weiss, Theodore
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 20th, 2006
Last updated Oct 6th, 2017 - about 8 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 1083634257 NPPES
Pennsylvania MEDICAID 736674

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