Provider Demographics
NPI:1982365102
Name:WEAVER, SABRINA (DC)
Entity Type:Individual
Prefix:DR
First Name:SABRINA
Middle Name:
Last Name:WEAVER
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 1:16110 COUNTY ROAD 424
Mailing Address - Street 2:
Mailing Address - City:NAPOLEON
Mailing Address - State:OH
Mailing Address - Zip Code:43545-9609
Mailing Address - Country:US
Mailing Address - Phone:586-873-3542
Mailing Address - Fax:
Practice Address - Street 1:16110 COUNTY ROAD 424
Practice Address - Street 2:
Practice Address - City:NAPOLEON
Practice Address - State:OH
Practice Address - Zip Code:43545-9609
Practice Address - Country:US
Practice Address - Phone:586-873-3542
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-01-10
Last Update Date:2023-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH0579111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor