Provider Demographics
NPI:1992974067
Name:WEILER, ERIC ANDREW (DC)
Entity type:Individual
Prefix:DR
First Name:ERIC
Middle Name:ANDREW
Last Name:WEILER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:215 BATESVILLE RD
Mailing Address - Street 2:SUITE A
Mailing Address - City:SIMPSONVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29681-4816
Mailing Address - Country:US
Mailing Address - Phone:864-987-5541
Mailing Address - Fax:
Practice Address - Street 1:215 BATESVILLE RD
Practice Address - Street 2:SUITE A
Practice Address - City:SIMPSONVILLE
Practice Address - State:SC
Practice Address - Zip Code:29681-4816
Practice Address - Country:US
Practice Address - Phone:864-987-5541
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-22
Last Update Date:2008-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC3294111N00000X
FLCH 9509111N00000X
NC3784111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor