Doctor Name: | DONALD C WELDON |
NPI Number: | 1285639658 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | 16679 |
Business Practice Address: | 1201 N 10th St Beatrice, NE - 683102003 |
Business Phone Number: | 4022283545 |
Business Fax Number: | 4022283826 |
Mailing Address: | 1201 N 10th St, BEATRICE |
State: | NE |
Postal Code: | 683102003 |
Phone Number: | 4022283545 |
Fax Number: | 4022283826 |
NPI Enumeration Date: | 06/14/2005 |
NPI Last Update Date: | 02/25/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | 03/17/2006 |
NPI Reactivation Date: | 03/23/2006 |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QR1300X |
License Number: | 16679 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NE |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Rural Health |
Taxonomy Definition: |