Provider Demographics
NPI:1972213619
Name:WEISBROD CHIROPRACTIC, INC.
Entity Type:Organization
Organization Name:WEISBROD CHIROPRACTIC, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:WARREN
Authorized Official - Middle Name:WESLEY
Authorized Official - Last Name:WEISBROD
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:480-821-0101
Mailing Address - Street 1:401 N ALMA SCHOOL RD STE 1
Mailing Address - Street 2:
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85224-4369
Mailing Address - Country:US
Mailing Address - Phone:480-821-0101
Mailing Address - Fax:480-821-5147
Practice Address - Street 1:401 N ALMA SCHOOL RD STE 1
Practice Address - Street 2:
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85224-4369
Practice Address - Country:US
Practice Address - Phone:480-821-0101
Practice Address - Fax:480-821-5147
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-05
Last Update Date:2022-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty