Jack David Weaver in Redding - Chiropractor
Jack David Weaver - NPI 1558342154
Jack David Weaver is a Chiropractor in Redding, California. Jack David Weaver practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Jack David Weaver is 1558342154. The last update date is 2012-09-13.
Jack David Weaver's current location address is Po Box 492725, Redding, California. You can contact this provider via phone number 5302230583 and fax number 5302236316. The mailing address for Jack David Weaver is Po Box 492725, Redding, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jack David Weaver |
|---|---|
| Address | Po Box 492725, Redding, California |
| Phone Number | 5302230583 |
| Fax Number | 5302236316 |
| Sole Proprietor | Y |
| Credentials | DC |
NPI Number Detail
| NPI Number | 1558342154 |
|---|---|
| Provider Enumeration Date | 2005-11-10 |
| Last Updated Date | 2012-09-13 |
Provider Mailing Address Detail
| Address | Po Box 492725 |
|---|---|
| City | Redding |
| State | California (CA) |
| Post Code | 96002 |
| Phone Number | 5302230583 |
| Fax Number | 5302236316 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | DC10695 |
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Definition: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its inte |
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Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Jack David Weaver by the Centers for Medicare & Medicaid Services?
The Jack David Weaver has been issued the NPI (National Provider Identifier) 1558342154 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Jack David Weaver is physically located?
The Jack David Weaver is physically situated at the following address: Po Box 492725, Redding, CA, 96002.
What is Jack David Weaver's specialized field of practice, and what is the corresponding taxonomy classification code?
The Jack David Weaver's area of specialization is Chiropractor, and the corresponding taxonomy code that categorizes this field of practice is 111N00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1558342154 to Jack David Weaver?
The Centers for Medicare & Medicaid Services assigned the 1558342154 to Jack David Weaver on 2005-11-10.
When was the information pertaining to Jack David Weaver most recently updated or revised?
The details related to Jack David Weaver, including its address, specialty, and other relevant information, were last updated or revised on 2012-09-13.