Weider, Jerry Thomas
Weider, Jerry Thomas is an individual health care provider with primary practice located at 5429 Russell Ave Nw Ste 300 , Seattle WA 98107-4010. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Weider, Jerry Thomas can be contacted via phone (206) 783-6000.Contact Information
Primary practice address
5429 Russell Ave Nw Ste 300
Seattle WA 98107-4010
Phone: (206) 783-6000
Fax: (206) 783-6006
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | CH00003210 | Washington |
Profile Details
| NPI number | 1700967445 |
|---|---|
| LBN Legal business name | Weider, Jerry Thomas |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 18th, 2006 |
| Last updated | Feb 8th, 2023 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1700967445 | NPPES |
| Washington | MEDICAID | 2020592 |
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