Provider Demographics
NPI:1376868240
Name:WEERHEIM SPECIFIC, INC.
Entity type:Organization
Organization Name:WEERHEIM SPECIFIC, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CASEY
Authorized Official - Middle Name:JO
Authorized Official - Last Name:WEERHEIM
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:563-271-9638
Mailing Address - Street 1:429 W 69TH ST
Mailing Address - Street 2:
Mailing Address - City:SIOUX FALLS
Mailing Address - State:SD
Mailing Address - Zip Code:57108-3824
Mailing Address - Country:US
Mailing Address - Phone:605-275-6900
Mailing Address - Fax:605-275-6901
Practice Address - Street 1:429 W 69TH ST
Practice Address - Street 2:
Practice Address - City:SIOUX FALLS
Practice Address - State:SD
Practice Address - Zip Code:57108-3824
Practice Address - Country:US
Practice Address - Phone:605-275-6900
Practice Address - Fax:605-275-6901
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-02
Last Update Date:2010-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty