Provider Demographics
NPI:1831284090
Name:WEILERT CHIROPRACTIC CLINIC LLC
Entity Type:Organization
Organization Name:WEILERT CHIROPRACTIC CLINIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:ALAN
Authorized Official - Last Name:WEILERT
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:620-473-3212
Mailing Address - Street 1:WEILERT CHRIOPRACTIC CLINIC LLC 606 BRIDGE ST
Mailing Address - Street 2:
Mailing Address - City:HUMBOLDT
Mailing Address - State:KS
Mailing Address - Zip Code:66748
Mailing Address - Country:US
Mailing Address - Phone:620-473-3212
Mailing Address - Fax:
Practice Address - Street 1:WEILERT CHRIOPRACTIC CLINIC LLC 606 BRIDGE ST
Practice Address - Street 2:
Practice Address - City:HUMBOLDT
Practice Address - State:KS
Practice Address - Zip Code:66748
Practice Address - Country:US
Practice Address - Phone:620-473-3212
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-04
Last Update Date:2012-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty