Provider Demographics
NPI:1427280551
Name:WEILAND, JEFFREY JAMES (REEGT)
Entity type:Individual
Prefix:MR
First Name:JEFFREY
Middle Name:JAMES
Last Name:WEILAND
Suffix:
Gender:
Credentials:REEGT
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:4867 SUMMIT VIEW DR
Mailing Address - Street 2:
Mailing Address - City:EL DORADO
Mailing Address - State:CA
Mailing Address - Zip Code:95623-4601
Mailing Address - Country:US
Mailing Address - Phone:530-748-8732
Mailing Address - Fax:
Practice Address - Street 1:4867 SUMMIT VIEW DR
Practice Address - Street 2:
Practice Address - City:EL DORADO
Practice Address - State:CA
Practice Address - Zip Code:95623-4601
Practice Address - Country:US
Practice Address - Phone:530-748-8732
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-08-24
Last Update Date:2025-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZE0600XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherElectroneurodiagnostic
Provider Identifiers
StateIdentifier IDID TypeIssuer
246ZE0600XMedicare Oscar/Certification