Provider Demographics
NPI:1962485565
Name:WEEKS, SKYLAR D (DC)
Entity Type:Individual
Prefix:DR
First Name:SKYLAR
Middle Name:D
Last Name:WEEKS
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:230 S RIDGEVIEW DR
Mailing Address - Street 2:
Mailing Address - City:OREM
Mailing Address - State:UT
Mailing Address - Zip Code:84058-7200
Mailing Address - Country:US
Mailing Address - Phone:570-523-3444
Mailing Address - Fax:
Practice Address - Street 1:230 S RIDGEVIEW DR
Practice Address - Street 2:
Practice Address - City:OREM
Practice Address - State:UT
Practice Address - Zip Code:84058-7200
Practice Address - Country:US
Practice Address - Phone:570-523-3444
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-29
Last Update Date:2015-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC-002455-L111N00000X
UT952826501202111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1962485565OtherNATIONAL PROVIDER ID #
PA1962485565OtherNATIONAL PROVIDER ID #
PAWE195903Medicare PIN