Healthcare Provider Details

I. General information

NPI: 1083743793
Provider Name (Legal Business Name): ANTHONY J WEISENBERGER MD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/06/2007
Last Update Date: 07/02/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

191 E CHESTNUT ST
ASHEVILLE NC
28801
US

IV. Provider business mailing address

191 E CHESTNUT ST
ASHEVILLE NC
28801
US

V. Phone/Fax

Practice location:
  • Phone: 828-258-2112
  • Fax: 828-258-3831
Mailing address:
  • Phone: 828-258-2112
  • Fax: 828-258-3831

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number25462
License Number StateNC

VIII. Authorized Official

Name: ANTHONY J WEISENBERGER
Title or Position: PSYCHIATRY
Credential: MD
Phone: 828-258-2112