Provider Demographics
NPI:1508430620
Name:WEYHRICH, SARAH ELIZABETH (DC)
Entity Type:Individual
Prefix:DR
First Name:SARAH
Middle Name:ELIZABETH
Last Name:WEYHRICH
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:208 PARKINSON ST
Mailing Address - Street 2:
Mailing Address - City:NORMAL
Mailing Address - State:IL
Mailing Address - Zip Code:61761-3079
Mailing Address - Country:US
Mailing Address - Phone:309-454-8622
Mailing Address - Fax:309-454-8626
Practice Address - Street 1:208 PARKINSON ST
Practice Address - Street 2:
Practice Address - City:NORMAL
Practice Address - State:IL
Practice Address - Zip Code:61761-3079
Practice Address - Country:US
Practice Address - Phone:309-454-8622
Practice Address - Fax:309-454-8626
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-13
Last Update Date:2021-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH13393111N00000X
IL038.013781111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor