Provider Demographics
NPI:1477875722
Name:WEISS & ASSOCIATES
Entity Type:Organization
Organization Name:WEISS & ASSOCIATES
Other - Org Name:TRANSITION TO HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:DEBRA
Authorized Official - Middle Name:RENE
Authorized Official - Last Name:WEISS
Authorized Official - Suffix:
Authorized Official - Credentials:LAC,
Authorized Official - Phone:651-235-7324
Mailing Address - Street 1:1075 HADLEY AVE N
Mailing Address - Street 2:SUITE 106
Mailing Address - City:OAKDALE
Mailing Address - State:MN
Mailing Address - Zip Code:55128-5951
Mailing Address - Country:US
Mailing Address - Phone:651-235-7324
Mailing Address - Fax:651-714-9632
Practice Address - Street 1:1075 HADLEY AVE N
Practice Address - Street 2:SUITE 106
Practice Address - City:OAKDALE
Practice Address - State:MN
Practice Address - Zip Code:55128-5951
Practice Address - Country:US
Practice Address - Phone:651-235-7324
Practice Address - Fax:651-714-9632
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-26
Last Update Date:2010-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN1195171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty