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Contact Information

RICHARD A WEAKLEY
401 KENDALL DR
LAMAR, CO81052-3942
 Phone: 719-336-6760
 Fax: 719-336-6795
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Registered Nurse First Assistant

163WR0006X
Indicates primary specialty

NPI Profile & details for RICHARD A WEAKLEY · (Male)

NPI Number 1477826816
Status Active
Credentials
Entity Individual
Enumeration date 02/15/2012
Last updated 02/15/2012 - About 14 years ago
Sole proprietor 1 Yes
Identifiers
  • CO License # 130209
  • CO Other 840584583 TAX IDENTIFICATION NUMBER
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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