Individual
JAY E WEATHERILL
Active
Individual
JAY E WEATHERILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
5881
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
040121002
PRIMEWEST
MN
05
—
0734756
—
IA
05
—
12200
—
ND
01
—
2443474
ARAZ/ AMERICA'S PPO
SD
01
—
250978
MIDLANDS CHOICE
SD
01
—
370624200
DEPT OF LABOR
SD
01
—
412991047230
PREFERRED ONE
SD
05
—
46022474352
—
NE
01
—
4993901
BLUE CROSS
SD
01
—
53262
SANFORD HEALTH PLAN
SD
01
—
57108C012
WPS TRICARE
SD
01
—
5881
DAKOTACARE
SD
05
—
942439300
—
MN
01
—
975T5WE
CC SYSTEMS/ BLUE PLUS
MN
01
—
HP67088
HEALTHPARTNERS
SD
Enumeration date
07/21/2006
Last updated
04/19/2021
Update your record
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