Provider Demographics
NPI:1750672820
Name:WEBER, CATHERINE (RPA)
Entity Type:Individual
Prefix:
First Name:CATHERINE
Middle Name:
Last Name:WEBER
Suffix:
Gender:F
Credentials:RPA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8865 W 400 N
Mailing Address - Street 2:#115
Mailing Address - City:MICHIGAN CITY
Mailing Address - State:IN
Mailing Address - Zip Code:46360-9222
Mailing Address - Country:US
Mailing Address - Phone:219-872-7268
Mailing Address - Fax:219-872-2224
Practice Address - Street 1:8865 W 400 N
Practice Address - Street 2:#115
Practice Address - City:MICHIGAN CITY
Practice Address - State:IN
Practice Address - Zip Code:46360-9222
Practice Address - Country:US
Practice Address - Phone:219-872-7268
Practice Address - Fax:219-872-2224
Is Sole Proprietor?:No
Enumeration Date:2011-04-25
Last Update Date:2011-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes243U00000XTechnologists, Technicians & Other Technical Service ProvidersRadiology Practitioner Assistant