Weber Chiropractic
Organization Active NPI Chiropractor · Richland, IA
NPI 1386989861 · NPPES record last updated Dec 10, 2012
Key facts
- NPI
- 1386989861
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- License
- 06866 (IA)
- Legal business name
- WEBER CHIROPRACTIC
- Practice address
- 101 W Hwy 78 Unit #2
Richland, IA 52585 - Phone
- (319) 653-8793
- NPI assigned
- Dec 10, 2012
- Organization subpart
- No
Authorized official
- Name
- Jen Weber, D.C.
- Title
- Sole Member
- Phone
- (319) 653-8793
Practitioners 2
-
Ashley Nicole Jones, D.C
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20130507000419 | IA | Part B Supplier - Clinic/Group Practice | 2264679455 |
Receives reassigned benefits from 1 practitioner Practice locations: Richland, IA |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | 06866 | IA | Yes |
Addresses
Primary practice location
101 W Hwy 78 Unit #2
Richland, IA 52585
Mailing address
101 W Hwy 78 Unit #2
Richland, IA 52585
Phone (319) 653-8793
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609098441 | Other | IA | NPI |
Other providers in Richland, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 10, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.