Organization
WEILERT CHIROPRACTIC OFFICE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY D WEILERT DC (OWNER)
(620) 431-2225
Entity
Organization
Contact information
Practice address
720 S SANTA FE AVE, CHANUTE, KS 66720-3043
(620) 431-2225
(620) 431-2225
Mailing address
720 S SANTA FE AVE, CHANUTE, KS 66720-3043
(620) 431-2225
(620) 431-2225
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0103729
KS
111N00000X
Chiropractor
0105325
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
007374
MEDICARE PCAN
KS
01
—
P001123160
MEDICARE RAILROAD
KS
Enumeration date
05/07/2010
Last updated
06/15/2010
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