Jerry Thomas Weider Jr., D.C.
Chiropractor in Seattle, WA. Individual provider (NPI-1).
NPI number1700967445
StatusActive
Last updated in NPPESFeb 8, 2023
Details
- NPI
- 1700967445
- Entity type
- Individual (NPI-1)
- Name
- Jerry Thomas Weider Jr.
- Credential
- D.C.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 18, 2006
- Certification date
- Feb 8, 2023
- Last updated
- Feb 8, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111N00000X | Chiropractor | CH00003210 | WA | Yes |
Practice location
5429 Russell Ave Nw Ste 300Seattle, WA 98107-4010
Phone 206-783-6000 · Fax 206-783-6006
Mailing address
5429 Russell Ave Nw Ste 300Seattle, WA 98107-4010
Phone 206-783-6000 · Fax 206-783-6006
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