Provider Demographics
NPI:1154962124
Name:WEIBLE, STEVEN M
Entity type:Individual
Prefix:MR
First Name:STEVEN
Middle Name:M
Last Name:WEIBLE
Suffix:
Gender:M
Credentials:
Other - Prefix:MR
Other - First Name:STEVEN
Other - Middle Name:M
Other - Last Name:ROMUVICK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:18829 52ND AVE W
Mailing Address - Street 2:
Mailing Address - City:LYNNWOOD
Mailing Address - State:WA
Mailing Address - Zip Code:98036
Mailing Address - Country:US
Mailing Address - Phone:425-320-4635
Mailing Address - Fax:
Practice Address - Street 1:21630 84TH AVE
Practice Address - Street 2:
Practice Address - City:EDMONDS
Practice Address - State:WA
Practice Address - Zip Code:98026
Practice Address - Country:US
Practice Address - Phone:425-774-3042
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-10-01
Last Update Date:2019-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care Provider