Doctor Name: | DR. JAINE WEISE |
NPI Number: | 1023224953 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | D.V.M. |
License Number: | N1-0002192 |
Business Practice Address: | 23175 Bridgeway Dr W Lewes, DE - 199585117 |
Business Phone Number: | 7172693752 |
Business Fax Number: | |
Mailing Address: | 23175 Bridgeway Dr W, LEWES |
State: | DE |
Postal Code: | 199585117 |
Phone Number: | 7172693752 |
Fax Number: | |
NPI Enumeration Date: | 05/15/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174M00000X |
License Number: | N1-0002192 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | DE |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Veterinarian |
Taxonomy Specialization: | |
Taxonomy Definition: | A doctor of veterinary medicine, trained and authorized to practice veterinarian medicine and surgery. |