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NPI Code Detail

MEDICARE: MR. JONATHAN MICHAEL WEINBERG PT, DIP. MDT

MEDICARE: MR. JONATHAN MICHAEL WEINBERG PT, DIP. MDT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12251X0800XOrthopedic Physical Therapist6913NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
26913OTHERNCSTATE LICENSE

General Provider Information

NPI Number : 1124005434
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. JONATHAN MICHAEL WEINBERG PT, DIP. MDT
Provider Business Mailing Address
First Line : PO BOX 1370
Second Line :
City : OXFORD
State : NC
Zip : 27565-1370
Country : US
Telephone Number : 919-603-5400
Fax Number : 919-603-5404
Provider Business Practice Location Address
First Line : 110 MAIN ST
Second Line :
City : OXFORD
State : NC
Zip : 27565-3319
Country : US
Telephone Number : 919-603-5400
Fax Number : 919-603-5404
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/28/2005
Last Update Date : 07/09/2007

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