Organization
WEBER CHIROPRACTIC CLINIC SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALAN J WEBER D.C. (DOCTOR)
(608) 326-2511
Entity
Organization
Contact information
Practice address
601 E BLACKHAWK AVE, PRAIRIE DU CHIEN, WI 53821
(608) 326-2511
(608) 326-2167
Mailing address
62800 COLLINS LN, PRAIRIE DU CHIEN, WI 53821
(608) 326-8792
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3386-012
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
350038301
RAILROAD MEDICARE
WI
05
—
38896800
—
WI
Enumeration date
05/03/2007
Last updated
03/16/2011
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