MEDICARE: SARA C. WEYER - WEYER CHIROPRACTIC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1790360154
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SARA C. WEYER - WEYER CHIROPRACTIC

Provider Business Mailing Address
First Line	:	3316 CHIQUITA BLVD S
Second Line	:
City	:	CAPE CORAL
State	:	FL
Zip	:	33914-5120
Country	:	US
Telephone Number	:	678-836-5671
Fax Number	:

Provider Business Practice Location Address
First Line	:	3316 CHIQUITA BLVD S
Second Line	:
City	:	CAPE CORAL
State	:	FL
Zip	:	33914-5120
Country	:	US
Telephone Number	:	239-800-5197
Fax Number	:

Authorized Official
Title or Position	:	CHIROPRACTOR
Name	:	DR. SARA C WEYER
Credential	:	DC
Telephone Number	:	678-836-5671

Provider Enumeration Date	:	03/16/2021
Last Update Date	:	03/16/2021

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