Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | 01-03229 | KS |
NPI | 1003829755 |
---|---|
Provider Name | Dr. David Alan Weilert |
First Address | Humboldt, KS 66748-1733 |
Second Address | Humboldt, KS 66748-1733 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/08/2006 |
Last Update Date | 06/09/2012 |