Doctor Name: | DR. JAMIE LEANNE WIEGEL |
NPI Number: | 1275764268 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | D.C. |
License Number: | 31324 |
Business Practice Address: | 9179 G Ave Hesperia, CA - 923456121 |
Business Phone Number: | 7602440035 |
Business Fax Number: | 7602448589 |
Mailing Address: | Po Box 401707, HESPERIA |
State: | CA |
Postal Code: | 923401707 |
Phone Number: | 7602440035 |
Fax Number: | 7602448589 |
NPI Enumeration Date: | 08/07/2009 |
NPI Last Update Date: | 08/07/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | 31324 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Chiropractic Providers |
Taxonomy Classification: | Chiropractor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |