Weidner, Rebecca
Weidner, Rebecca is an sole proprietor health care provider with primary practice located at 10625 W North Ave Ste Ll3 , Wauwatosa WI 53226-2315. She recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as her primary health care specialty. Weidner, Rebecca can be contacted via phone (414) 852-1330.Contact Information
Primary practice address
10625 W North Ave Ste Ll3
Wauwatosa WI 53226-2315
Phone: (414) 852-1330
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 5026-12 | Wisconsin |
Profile Details
| NPI number | 1215335047 |
|---|---|
| LBN Legal business name | Weidner, Rebecca |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 10th, 2014 |
| Last updated | Jan 10th, 2019 - about 7 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 | 1215335047 | NPPES |
| Wisconsin | MEDICAID | 1215335047 |
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