1144489303 NPI number — MR. ROBERT ROSEBURRY WEIGEL JR.

Table of content: MR. ROBERT ROSEBURRY WEIGEL JR. (NPI 1144489303)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1144489303 NPI number — MR. ROBERT ROSEBURRY WEIGEL JR.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
WEIGEL
Provider First Name:
ROBERT
Provider Middle Name:
ROSEBURRY
Provider Name Prefix Text:
MR.
Provider Name Suffix Text:
JR.
Provider Credential Text:
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1144489303
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
06/03/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 2452
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
LAKE ISABELLA
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
93240-2452
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
760-379-8317
Provider Business Mailing Address Fax Number:
760-379-8969

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2835 HUGHES AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LAKE ISABELLA
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93240-2452
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
760-379-8317
Provider Business Practice Location Address Fax Number:
760-379-8969
Provider Enumeration Date:
06/03/2008

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: 247200000X , with the licence number:  SR ARH 100970245 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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