Weide, Jeffrey A

Weide, Jeffrey A is an sole proprietor health care provider with primary practice located at 7280 S 13Th St Ste103 , Oak Creek WI 53154-1831. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Weide, Jeffrey A can be contacted via phone (414) 768-9000.

Contact Information

Primary practice address
7280 S 13Th St Ste103 Oak Creek WI 53154-1831
Fax: (414) 768-9004
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 1599-012 Wisconsin

Profile Details

NPI number 1053357293
LBN Legal business name Weide, Jeffrey A
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 22nd, 2006
Last updated Jan 8th, 2010 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053357293 NPPES
Wisconsin MEDICAID 38780400

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