Weiss, Zachary

Weiss, Zachary is an individual health care provider with primary practice located at 801 W Maple St , Farmington NM 87401-5630. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Weiss, Zachary can be contacted via phone (505) 609-2000.

Contact Information

Primary practice address
801 W Maple St Farmington NM 87401-5630
Fax: (505) 609-2259
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X MD2005-0852 New Mexico

Profile Details

NPI number 1720183734
LBN Legal business name Weiss, Zachary
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 14th, 2006
Last updated Jan 30th, 2014 - about 10 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 1720183734 NPPES
New Mexico MEDICAID 36370339

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