Individual
ELLEN S WEBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
619 19TH ST S, BIRMINGHAM, AL 35249-1900
(205) 934-4011
Mailing address
PO BOX 55310, BIRMINGHAM, AL 35255-5310
(205) 731-9701
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
12267
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009943008
—
AL
05
—
009990045
—
AL
01
—
051527390
BLUECROSS BLUESHIELD AL
AL
01
—
051597020
BCBS
AL
01
—
051597021
BCBS
AL
01
—
051597022
BCBS
AL
05
—
108898
—
AL
05
—
108904
—
AL
05
—
108907
—
AL
01
—
510-05045
BC BS OF ALABAMA
AL
01
—
P00829072
RAILRAOD MEDICARE
AL
Enumeration date
06/23/2006
Last updated
12/22/2011
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