Weller, John Henry
Weller, John Henry is an sole proprietor health care provider with primary practice located at 1095 Liberty St Ne Ste A, Salem OR 97301-1137. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Weller, John Henry can be contacted via phone (503) 581-6550.Contact Information
Primary practice address
1095 Liberty St Ne Ste A
Salem OR 97301-1137
Phone: (503) 581-6550
Fax: (503) 581-4755
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 200150116NP | Oregon |
Profile Details
| NPI number | 1871538819 |
|---|---|
| LBN Legal business name | Weller, John Henry |
| Credentials | FNPC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 16th, 2006 |
| Last updated | Jul 25th, 2013 - about 11 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 | 1871538819 | NPPES |
| Oregon | MEDICAID | 210854 |
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