Provider Demographics
NPI:1710064050
Name:WEIG, MICHAEL WILLIAM (CHIROPRACTOR)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:WILLIAM
Last Name:WEIG
Suffix:
Gender:M
Credentials:CHIROPRACTOR
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:5580 BROADWAY ST
Mailing Address - Street 2:SUITE 4
Mailing Address - City:LANCASTER
Mailing Address - State:NY
Mailing Address - Zip Code:14086-2380
Mailing Address - Country:US
Mailing Address - Phone:716-206-7526
Mailing Address - Fax:716-681-1045
Practice Address - Street 1:5580 BROADWAY ST
Practice Address - Street 2:SUITE 4
Practice Address - City:LANCASTER
Practice Address - State:NY
Practice Address - Zip Code:14086-2380
Practice Address - Country:US
Practice Address - Phone:716-206-7526
Practice Address - Fax:716-681-1045
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NYX009858111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor