Provider Demographics
NPI:1346439619
Name:WEEKS, PAUL D (DC)
Entity Type:Individual
Prefix:
First Name:PAUL
Middle Name:D
Last Name:WEEKS
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 1:2970 ROSS CLARK CIR STE 2
Mailing Address - Street 2:
Mailing Address - City:DOTHAN
Mailing Address - State:AL
Mailing Address - Zip Code:36301-1107
Mailing Address - Country:US
Mailing Address - Phone:334-793-1081
Mailing Address - Fax:334-792-7600
Practice Address - Street 1:1817 S. OATES ST.
Practice Address - Street 2:
Practice Address - City:DOTHAN
Practice Address - State:AL
Practice Address - Zip Code:36301
Practice Address - Country:US
Practice Address - Phone:334-793-1081
Practice Address - Fax:334-792-7600
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-23
Last Update Date:2024-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL2089111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL529928260Medicaid
AL051523855Medicare PIN
AL529928260Medicaid