Christopher Morris Weaver, LPTA
Individual provider Active NPI Contractor · Belden, MS
NPI 1023324944 · NPPES record last updated Aug 30, 2010
Key facts
- NPI
- 1023324944
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Contractor 171W00000X
- License
- PTA4436 (MS)
- Practice address
- 1700 Thicket CV
Belden, MS 38826-6008 - Phone
- (662) 617-3771
- NPI assigned
- Aug 30, 2010
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTA4436 | MS | MD | Contractor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contractor | 171W00000X | PTA4436 | MS | Yes |
Addresses
Primary practice location
1700 Thicket CV
Belden, MS 38826-6008
Mailing address
1700 Thicket CV
Belden, MS 38826-6008
Phone (662) 617-3771
Other providers in Belden, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 30, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.