Maxine J. Weyant
Family Doctor - Sports Medicine
901 Boren Ave Suite 900
Seattle
, Washington 98104-3595
Maxine J. Weyant
Family Doctor - Sports Medicine
901 Boren Ave Suite 900
Seattle
, Washington 98104-3595
(206) 264-8100
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About
Features
Specialties
- Family Doctor - Sports Medicine
Languages spoken
- English
Location
First Address
- Maxine J. Weyant
- 805 Madison St Suite 901
- Seattle, WA
- Zip : 98104-1172
- Phone : (206) 264-8100
Second Address
- Maxine J. Weyant
- 901 Boren Ave Suite 900
- Seattle, WA
- Zip : 98104-3595
- Fax : (206) 323-6868
- Phone : (206) 323-1900
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207QS0010X | Family Doctor - Sports Medicine | MD00025809 | WA |
National Provider Identifier
| NPI | 1063563229 |
|---|---|
| Provider Name | Maxine J. Weyant |
| First Address | Seattle, WA 98104-1172 |
| Second Address | Seattle, WA 98104-3595 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 15/01/2007 |
| Last Update Date | 19/09/2013 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| E98228 | (02) | |
| E98228 | (02) | WA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.