Provider Demographics
NPI:1306941349
Name:WEIG CHIROPRACTIC CENTER INC.
Entity type:Organization
Organization Name:WEIG CHIROPRACTIC CENTER INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:TOBY
Authorized Official - Middle Name:
Authorized Official - Last Name:WEIG
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:704-596-9400
Mailing Address - Street 1:9010 GLENWATER DR
Mailing Address - Street 2:SUITE 102
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28262-8563
Mailing Address - Country:US
Mailing Address - Phone:704-596-9400
Mailing Address - Fax:704-549-4050
Practice Address - Street 1:9010 GLENWATER DR
Practice Address - Street 2:SUITE 102
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28262-8563
Practice Address - Country:US
Practice Address - Phone:704-596-9400
Practice Address - Fax:704-549-4050
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-14
Last Update Date:2009-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2849111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC890848RMedicaid
NC2334080Medicare UPIN
NC2454129AMedicare ID - Type Unspecified