Individual provider · Type 1 NPI

Blaine A. Weaver

Student in an Organized Health Care Education/Training Program · West Portsmouth, OH

NPI number 1003457706 Active

Practice location

48 Dry Run Rd
West Portsmouth, OH 45663-8987

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed
Athletic Trainer 2255A2300XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Another provider at this address

About NPI 1003457706

Blaine A. Weaver's National Provider Identifier is 1003457706, issued on Oct 3, 2019. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in West Portsmouth, OH. The record was last updated on Oct 3, 2019.