Provider Demographics
NPI:1083489314
Name:WEBER, JARIN A (MSW)
Entity Type:Individual
Prefix:
First Name:JARIN
Middle Name:A
Last Name:WEBER
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6938 LAKE RD
Mailing Address - Street 2:
Mailing Address - City:FIFE LAKE
Mailing Address - State:MI
Mailing Address - Zip Code:49633-9039
Mailing Address - Country:US
Mailing Address - Phone:231-570-0029
Mailing Address - Fax:
Practice Address - Street 1:6938 LAKE RD
Practice Address - Street 2:
Practice Address - City:FIFE LAKE
Practice Address - State:MI
Practice Address - Zip Code:49633-9039
Practice Address - Country:US
Practice Address - Phone:231-570-0029
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-11-16
Last Update Date:2023-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula