Provider Demographics
NPI:1679159453
Name:WEUM CHIRO P.C.
Entity Type:Organization
Organization Name:WEUM CHIRO P.C.
Other - Org Name:PERFORMANCE HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RYLAND
Authorized Official - Middle Name:
Authorized Official - Last Name:WEUM
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:406-449-7500
Mailing Address - Street 1:3027 CABERNET DR
Mailing Address - Street 2:
Mailing Address - City:HELENA
Mailing Address - State:MT
Mailing Address - Zip Code:59601-8642
Mailing Address - Country:US
Mailing Address - Phone:406-449-7500
Mailing Address - Fax:
Practice Address - Street 1:3027 CABERNET DR
Practice Address - Street 2:
Practice Address - City:HELENA
Practice Address - State:MT
Practice Address - Zip Code:59601-8642
Practice Address - Country:US
Practice Address - Phone:406-449-7500
Practice Address - Fax:406-449-5160
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-22
Last Update Date:2022-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary CareGroup - Multi-Specialty
No111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty