Provider Demographics
NPI:1538845961
Name:WEINBERG, JOSEPH
Entity type:Individual
Prefix:
First Name:JOSEPH
Middle Name:
Last Name:WEINBERG
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5325 STEUBENVILLE RD SE
Mailing Address - Street 2:
Mailing Address - City:AMSTERDAM
Mailing Address - State:OH
Mailing Address - Zip Code:43903-9748
Mailing Address - Country:US
Mailing Address - Phone:209-513-2272
Mailing Address - Fax:
Practice Address - Street 1:5325 STEUBENVILLE RD SE
Practice Address - Street 2:
Practice Address - City:AMSTERDAM
Practice Address - State:OH
Practice Address - Zip Code:43903-9748
Practice Address - Country:US
Practice Address - Phone:209-513-2272
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-22
Last Update Date:2023-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide