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Contact Information

COREY WEIDMAN, PA-C
JACKSON RIVER ORTHOPEDICS
1 ARH LANE, STE 102
LOW MOOR, VA24457
 Phone: 540-862-6777
 Fax: 540-863-9167
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for COREY WEIDMAN · (Male)

NPI Number 1013912104
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 06/16/2005
Last updated 07/21/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • VA License # 0110840643
  • Other 541839718 C&O
  • Other 200026 LUNG
  • VA Other 258083 ANTHEM
  • VA Other 541839718045 BS MOUNTAIN STATE
  • WV Other 001717977 BSMT
  • WV Other 54183971800 WV WORKERS COMPENSATION
Hospital affiliation(s)
  • LEWISGALE HOSPITAL ALLEGHANY - (Acute Care)
    ONE ARH LANE - PO BOX 7
    LOW MOOR, VA 24457
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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