Weitekamp, Gary Louis
Weitekamp, Gary Louis is an sole proprietor health care provider with primary practice located at 2407 St Andrews Blvd Suite A, Panama City FL 32405-2170. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Weitekamp, Gary Louis can be contacted via phone (850) 763-5021.Contact Information
Primary practice address
2407 St Andrews Blvd Suite A
Panama City FL 32405-2170
Phone: (850) 763-5021
Fax: (850) 769-5025
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | DN0009503 | Florida |
Profile Details
| NPI number | 1396958005 |
|---|---|
| LBN Legal business name | Weitekamp, Gary Louis |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 8th, 2007 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1396958005 | NPPES |
| Other | 547422 | UNITED CONCORDIA INS CO |
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