Provider Demographics
NPI:1295916138
Name:WEINERT, NELEIGH MARIE (DC)
Entity type:Individual
Prefix:DR
First Name:NELEIGH
Middle Name:MARIE
Last Name:WEINERT
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2321 W 60TH ST
Mailing Address - Street 2:
Mailing Address - City:DAVENPORT
Mailing Address - State:IA
Mailing Address - Zip Code:52806-2724
Mailing Address - Country:US
Mailing Address - Phone:563-386-2169
Mailing Address - Fax:
Practice Address - Street 1:2321 W 60TH ST
Practice Address - Street 2:
Practice Address - City:DAVENPORT
Practice Address - State:IA
Practice Address - Zip Code:52806-2724
Practice Address - Country:US
Practice Address - Phone:563-386-2169
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-11-20
Last Update Date:2007-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA06963111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor