Healthcare Provider Details

I. General information

NPI: 1891787701
Provider Name (Legal Business Name): JOHN L WEBER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 08/17/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

370 E MARKET ST
AKRON OH
44304-1526
US

IV. Provider business mailing address

370 E MARKET ST
AKRON OH
44304-1526
US

V. Phone/Fax

Practice location:
  • Phone: 330-762-9033
  • Fax: 330-996-7031
Mailing address:
  • Phone: 330-762-9033
  • Fax: 330-996-7031

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number35059672
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: