Provider Demographics
NPI:1770860637
Name:FAMILY PRACTICE, HOWARD N WEEKS MD PA
Entity Type:Organization
Organization Name:FAMILY PRACTICE, HOWARD N WEEKS MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JANE
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:OBRIEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-733-4496
Mailing Address - Street 1:580 NORTHERN AVE
Mailing Address - Street 2:SUITE C
Mailing Address - City:HAGERSTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:21742-2847
Mailing Address - Country:US
Mailing Address - Phone:301-733-4496
Mailing Address - Fax:301-733-0963
Practice Address - Street 1:580 NORTHERN AVE
Practice Address - Street 2:SUITE C
Practice Address - City:HAGERSTOWN
Practice Address - State:MD
Practice Address - Zip Code:21742-2847
Practice Address - Country:US
Practice Address - Phone:301-733-4496
Practice Address - Fax:301-733-0963
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-11-07
Last Update Date:2011-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0011266313M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes313M00000XNursing & Custodial Care FacilitiesNursing Facility/Intermediate Care Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDB67441Medicare UPIN