Search › Connecticut › 156FX1800X
Ryan Weaver, LO, ABOC, NCLEC
NPI 1255856845 · on the registry since 2017 · sole proprietor
Practice
- Address
- 625 School St
Putnam, CT 06260 - Phone
- (860) 630-4634
- Fax
- (860) 928-4975
- Organisation at this address
- Wal-Mart Stores East, Lp
Wal-Mart Stores East , LpInferred from a shared address, not stated in the registry. - Clinicians at this address
- 9
Registry record
- Primary taxonomy
- 156FX1800X
156FX1800X
- Licence states on file
- CT
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-07-21
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Connecticut