MEDICARE: DR. GENEVIEVE E WEBER DC

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	361	ND

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
4	N1000365	OTHER	ND	'MEDICARE ID-PIN'

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	4293	OTHER	ND	BLUE CROSS
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	000481	OTHER	ND	EDI

General Provider Information

NPI Number	:	1144255423
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GENEVIEVE E WEBER DC

Provider Business Mailing Address
First Line	:	1008 ADAMS AVE
Second Line	:
City	:	HARVEY
State	:	ND
Zip	:	58341
Country	:	US
Telephone Number	:	701-324-2335
Fax Number	:

Provider Business Practice Location Address
First Line	:	1008 ADAMS AVE
Second Line	:
City	:	HARVEY
State	:	ND
Zip	:	58341
Country	:	US
Telephone Number	:	701-324-2335
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/12/2006
Last Update Date	:	09/28/2007

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