Provider Demographics
NPI:1215012919
Name:WEILEP, RHETT W (DC)
Entity Type:Individual
Prefix:DR
First Name:RHETT
Middle Name:W
Last Name:WEILEP
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1191 FUMI CIR
Mailing Address - Street 2:
Mailing Address - City:KETTLE FALLS
Mailing Address - State:WA
Mailing Address - Zip Code:99141-8623
Mailing Address - Country:US
Mailing Address - Phone:509-738-2071
Mailing Address - Fax:
Practice Address - Street 1:1191 FUMI CIR
Practice Address - Street 2:
Practice Address - City:KETTLE FALLS
Practice Address - State:WA
Practice Address - Zip Code:99141-8623
Practice Address - Country:US
Practice Address - Phone:509-738-2071
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH2401111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAGAB24983Medicare ID - Type Unspecified