1013458587 NPI number — MRS. SARAH WEYMOUTH PA-C

Table of content: MRS. SARAH WEYMOUTH PA-C (NPI 1013458587)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1013458587 NPI number — MRS. SARAH WEYMOUTH PA-C

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
WEYMOUTH
Provider First Name:
SARAH
Provider Middle Name:
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
PA-C
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
BIANCHI
Provider Other First Name:
SARAH
Provider Other Middle Name:
Provider Other Name Prefix Text:
MISS
Provider Other Name Suffix Text:
Provider Other Credential Text:
PA-C
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1013458587
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/21/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 187
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
RICHMOND
Provider Business Mailing Address State Name:
MI
Provider Business Mailing Address Postal Code:
48062
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
586-727-5840
Provider Business Mailing Address Fax Number:
586-727-5897

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
66440 GRATIOT AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LENOX
Provider Business Practice Location Address State Name:
MI
Provider Business Practice Location Address Postal Code:
48050
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
586-727-5840
Provider Business Practice Location Address Fax Number:
586-727-5897
Provider Enumeration Date:
03/16/2017

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 363AM0700X , with the licence number:  5601008135 , registered in the state of MI ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)