Weller, William Jacob

Weller, William Jacob is an individual health care provider with primary practice located at 7545 Airways Blvd , Southaven MS 38671-5806. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hand Surgery, which is considered as his primary health care specialty. Weller, William Jacob can be contacted via phone (901) 759-3100.

Contact Information

Primary practice address
7545 Airways Blvd Southaven MS 38671-5806
Phone: (901) 759-3100
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hand Surgery 207XS0106X 57285 Tennessee

Profile Details

NPI number 1013278084
LBN Legal business name Weller, William Jacob
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 6th, 2012
Last updated Feb 10th, 2023 - about 2 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 1013278084 NPPES
Mississippi MEDICAID 100231278
Mississippi MEDICAID 00956761
Mississippi MEDICAID Q045692

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