Weston, Brent Wade

Weston, Brent Wade is an individual health care provider with primary practice located at 207 S Burlington Ave , Hastings NE 68901-5905. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Weston, Brent Wade can be contacted via phone (402) 462-8824.

Contact Information

Primary practice address
207 S Burlington Ave Hastings NE 68901-5905
Phone: (402) 462-8824
Fax: (402) 462-8017
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 1916 Nebraska

Profile Details

NPI number 1093722035
LBN Legal business name Weston, Brent Wade
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 2nd, 2006
Last updated Jun 16th, 2010 - about 14 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 1093722035 NPPES
Nebraska Other 9211 BLUE CROSS BLUE SHIELD

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