Individual
DR. JESSE T. WEIGEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
2993 S PEORIA ST, SUITE 270, AURORA, CO 80014-3107
(303) 873-6232
(303) 337-5474
Mailing address
2993 S PEORIA ST, SUITE 270, AURORA, CO 80014-3107
(303) 873-6232
(303) 337-5474
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHR6542
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
COA109100
MEDICARE PTAN
CO
Enumeration date
06/30/2010
Last updated
11/04/2014
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