Provider Demographics
NPI:1952623571
Name:WEIMER, WILLIAM H (DC)
Entity type:Individual
Prefix:
First Name:WILLIAM
Middle Name:H
Last Name:WEIMER
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 1:1247 HIGHWAY 36
Mailing Address - Street 2:
Mailing Address - City:UNION BEACH
Mailing Address - State:NJ
Mailing Address - Zip Code:07735-3519
Mailing Address - Country:US
Mailing Address - Phone:732-497-5900
Mailing Address - Fax:
Practice Address - Street 1:1247 HIGHWAY 36
Practice Address - Street 2:
Practice Address - City:UNION BEACH
Practice Address - State:NJ
Practice Address - Zip Code:07735-3519
Practice Address - Country:US
Practice Address - Phone:732-497-5900
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-23
Last Update Date:2012-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00338300111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor