Provider Demographics
NPI:1508174293
Name:WEICH, ERIKA (LAC)
Entity Type:Individual
Prefix:MRS
First Name:ERIKA
Middle Name:
Last Name:WEICH
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:726 PEARL ST STE C
Mailing Address - Street 2:
Mailing Address - City:BOULDER
Mailing Address - State:CO
Mailing Address - Zip Code:80302-3609
Mailing Address - Country:US
Mailing Address - Phone:720-480-4862
Mailing Address - Fax:
Practice Address - Street 1:726 PEARL ST STE C
Practice Address - Street 2:
Practice Address - City:BOULDER
Practice Address - State:CO
Practice Address - Zip Code:80302-3609
Practice Address - Country:US
Practice Address - Phone:720-480-4862
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-16
Last Update Date:2010-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO983171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist