Provider Demographics
NPI:1780705640
Name:WILLIAM J. WEBER D.C. PLLC
Entity type:Organization
Organization Name:WILLIAM J. WEBER D.C. PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CLINIC DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:J
Authorized Official - Last Name:WEBER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:425-822-4389
Mailing Address - Street 1:13021 NE 85TH ST.
Mailing Address - Street 2:
Mailing Address - City:KIRKLAND
Mailing Address - State:WA
Mailing Address - Zip Code:98033-8005
Mailing Address - Country:US
Mailing Address - Phone:425-827-0422
Mailing Address - Fax:425-827-8181
Practice Address - Street 1:13021 NE 85TH ST.
Practice Address - Street 2:
Practice Address - City:KIRKLAND
Practice Address - State:WA
Practice Address - Zip Code:98033-8005
Practice Address - Country:US
Practice Address - Phone:425-827-0422
Practice Address - Fax:425-827-8181
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-02
Last Update Date:2011-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH00001424111N00000X
WACH0000-1424111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA1659495166OtherNPI