Weitzenberg, Todd W.

Weitzenberg, Todd W. is an individual health care provider with primary practice located at 401 Bicentennial Way , Santa Rosa CA 95403-2149. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Weitzenberg, Todd W. can be contacted via phone (707) 571-4000.

Contact Information

Primary practice address
401 Bicentennial Way Santa Rosa CA 95403-2149
Phone: (707) 571-4000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X A64341 California
Allopathic & Osteopathic Physicians / Sports Medicine 207RS0010X A64341 California

Profile Details

NPI number 1942384946
LBN Legal business name Weitzenberg, Todd W.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 25th, 2006
Last updated Dec 13th, 2021 - about 5 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 1942384946 NPPES
California MEDICAID 00A643410

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