Provider Demographics
NPI:1376594598
Name:WEINBERGER, JANET MARIE (MD)
Entity Type:Individual
Prefix:
First Name:JANET
Middle Name:MARIE
Last Name:WEINBERGER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 601843
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28260-1843
Mailing Address - Country:US
Mailing Address - Phone:336-443-9910
Mailing Address - Fax:336-443-9909
Practice Address - Street 1:910 E INNES ST
Practice Address - Street 2:
Practice Address - City:SALISBURY
Practice Address - State:NC
Practice Address - Zip Code:28144-4638
Practice Address - Country:US
Practice Address - Phone:980-330-6898
Practice Address - Fax:980-330-6899
Is Sole Proprietor?:No
Enumeration Date:2006-05-12
Last Update Date:2023-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL29633207P00000X
NC2018-02670207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH000000385088OtherBCBS
P00310147OtherRAIL ROAD MEDICARE
OH000000385088OtherBCBS
OH2626279Medicaid
WE4174512Medicare PIN
OH000000385088OtherBCBS