Provider Demographics
NPI:1306046842
Name:WEEKS CHIROPRACTIC INC.
Entity type:Organization
Organization Name:WEEKS CHIROPRACTIC INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:D
Authorized Official - Last Name:WEEKS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:303-776-6596
Mailing Address - Street 1:1926 S COFFMAN ST
Mailing Address - Street 2:
Mailing Address - City:LONGMONT
Mailing Address - State:CO
Mailing Address - Zip Code:80504-7329
Mailing Address - Country:US
Mailing Address - Phone:303-776-6596
Mailing Address - Fax:303-834-9037
Practice Address - Street 1:1926 S COFFMAN ST
Practice Address - Street 2:
Practice Address - City:LONGMONT
Practice Address - State:CO
Practice Address - Zip Code:80504-7329
Practice Address - Country:US
Practice Address - Phone:303-776-6596
Practice Address - Fax:303-834-9037
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-23
Last Update Date:2009-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO5245111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO802639Medicare PIN