WEAVER CHIROPRACTIC CENTER, LLC (NPI# 1205160694) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205160694 |
| Entity Type | Organization |
| Organization Name | WEAVER CHIROPRACTIC CENTER, LLC |
| Practice Address |
83 Bangor Junction Rd Bangor PA 18013-9314 |
| Mailing Address |
83 Bangor Junction Road Bangor PA 18013 |
| Practice Telephone | 6105887640 |
| Mailing Telephone | 6105887640 |
| Enumeration Date | 2009-10-01 |
| Last Update Date | 2009-10-01 |
| Authorized Official Name | RICHARD J WEAVER (OWNER) |
| Authorized Official Telephone | 6105887640 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 111NS0005X |
Chiropractor Specialization: Sports Physician |
Chiropractic Providers | ||
| Y | 111N00000X | Chiropractor | Chiropractic Providers |
| Street Address |
83 BANGOR JUNCTION RD |
| City | BANGOR |
| State | PA |
| Zip Code | 18013-9314 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104298140 | Blue Valley Vision LLC | Eyewear Supplier (Equipment, not the service) | 455 Blue Valley Dr, Bangor, PA 18013 | 2015-10-29 |
| 1588064554 | Roxanne Decesare | Reflexologist | 429 South First St, Bangor, PA 18013 | 2014-08-27 |
| 1467781708 | Shadys Rest | Preferred Provider Organization | 1004 W Juniata Street, Allentown, PA 18013 | 2009-12-16 |
| 1912911371 | Richard J Weaver | Chiropractor | 83 Bangor Junction Road, Blue Valley Plaza, Bangor, PA 18013 | 2006-07-28 |
| 1104373265 | Heavenly Vision | Technician/Technologist | 455 Blue Valley Dr, Bangor, PA 18013 | 2016-09-07 |
| 1881059293 | Timothy James Velekei Sr. | Technician/Technologist | 455 Blue Valley Dr, Bangor, PA 18013 | 2015-12-30 |
| 1629492608 | Elizabeth Kostura | Counselor | 51 Market Street, Bangor, PA 18013 | 2014-02-11 |
| 1518261593 | Carol Augusta Olzinski | Social Worker | 51 Market Street, Bangor, PA 18013 | 2011-01-05 |
| 1073846390 | Christa Robinson | Specialist/Technologist | 19 Columbus St, Apt 3, Roseto, PA 18013 | 2009-09-18 |
| 1326096587 | Matthew Nicholas Sabatine Jr. | Dentist | 137 Broadway, Bangor, PA 18013 | 2006-05-04 |
| Find all providers in zip 18013 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| 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 interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174096309 | Vanidestine Chiropractic, Inc | Chiropractor | 336 Mount Hope Ave Ste 11, Bangor, ME 04401-4236 | 2019-01-10 |
| 1205306503 | Daniel Luigi Comunale | Chiropractor | 622 Fox Gap Rd, Bangor, PA 18013-5833 | 2018-11-29 |
| 1699264143 | My Life Well Adjusted LLC | Chiropractor | 268 State St Ste 1, Bangor, ME 04401-5417 | 2018-05-09 |
| 1598079873 | Nathan Bryan Roberts | Chiropractor | 125 W Monroe St, Bangor, MI 49013-1332 | 2010-07-29 |
| 1558699314 | Rickie Lane Ames | Chiropractor | 804 Stillwater Ave, Bangor, ME 04401-3614 | 2009-12-05 |
| 1912167057 | Healthsource of Bangor S C | Chiropractor | 1505 Commercial St, Bangor, WI 54614-0410 | 2008-06-12 |
| 1174652291 | Jack Anthony Manzella | Chiropractor | 1505 Commercial St., Bangor Family Chiropractic, Bangor, WI 54614 | 2007-03-05 |
| 1154469047 | Richard J Thomas | Chiropractor | 804 Stillwater Avenue, Bangor, ME 04401 | 2007-02-02 |
| 1164438917 | Robin William Gooden | Chiropractor | 16 Penn Plz, Ste 22, Bangor, ME 04401-3620 | 2006-08-01 |
| 1912911371 | Richard J Weaver | Chiropractor | 83 Bangor Junction Road, Blue Valley Plaza, Bangor, PA 18013 | 2006-07-28 |
| Find all providers in BANGOR | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.