Healthcare Provider Details

I. General information

NPI: 1437063278
Provider Name (Legal Business Name): JAMES WEBER
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/29/2026
Last Update Date: 09/29/2026
Certification Date: 09/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

44 MARYLAND AVE APT 708
ROCKVILLE MD
20850-2484
US

IV. Provider business mailing address

44 MARYLAND AVE APT 708
ROCKVILLE MD
20850-2484
US

V. Phone/Fax

Practice location:
  • Phone: 717-405-7599
  • Fax:
Mailing address:
  • Phone: 717-405-7599
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code146M00000X
TaxonomyIntermediate Emergency Medical Technician
License NumberA-99999
License Number StateDC
# 2
Primary TaxonomyN
Taxonomy Code146N00000X
TaxonomyBasic Emergency Medical Technician
License NumberC202104674
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: