Barry Craig Weaver in Bloomington - Specialist
Barry Craig Weaver - NPI 1609824242
Barry Craig Weaver is a Specialist in Bloomington, Illinois. Barry Craig Weaver practices all healthcare services and medical treatments related to Specialist. The NPI Number for Barry Craig Weaver is 1609824242. The last update date is 2013-07-29.
Barry Craig Weaver's current location address is 306 Saint Joseph Dr, Bloomington, Illinois. You can contact this provider via phone number 3096632354 and fax number 3096628602. The mailing address for Barry Craig Weaver is 306 Saint Joseph Dr, Bloomington, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Barry Craig Weaver |
|---|---|
| Address | 306 Saint Joseph Dr, Bloomington, Illinois |
| Phone Number | 3096632354 |
| Fax Number | 3096628602 |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1609824242 |
|---|---|
| Provider Enumeration Date | 2006-05-05 |
| Last Updated Date | 2013-07-29 |
Provider Mailing Address Detail
| Address | 306 Saint Joseph Dr |
|---|---|
| City | Bloomington |
| State | Illinois (IL) |
| Post Code | 617013506 |
| Phone Number | 3096632354 |
| Fax Number | 3096628602 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 36078523 |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 36078523 | IL | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Barry Craig Weaver by the Centers for Medicare & Medicaid Services?
The Barry Craig Weaver has been assigned the NPI (National Provider Identifier) 1609824242 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you kindly provide the complete physical address where Barry Craig Weaver's facilities are geographically located?
The facilities of Barry Craig Weaver are physically situated at the following location: 306 Saint Joseph Dr, Bloomington, IL, 617013506.
What is Barry Craig Weaver's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Barry Craig Weaver is Specialist, and the corresponding taxonomy classification code for this specialized field is 174400000X.
On what date did the Barry Craig Weaver receive its 1609824242 assignment from the Centers for Medicare & Medicaid Services?
The Barry Craig Weaver was assigned its 1609824242 by the Centers for Medicare & Medicaid Services on 2006-05-05.
When was the information pertaining to Barry Craig Weaver most recently updated or revised?
The details related to Barry Craig Weaver, including its address, specialty, and other relevant information, were last updated or revised on 2013-07-29.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY