Provider Demographics
NPI:1871624452
Name:WEEKS, BRIAN D (DC)
Entity type:Individual
Prefix:DR
First Name:BRIAN
Middle Name:D
Last Name:WEEKS
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 1:1100 E 17TH AVE APT E203
Mailing Address - Street 2:
Mailing Address - City:LONGMONT
Mailing Address - State:CO
Mailing Address - Zip Code:80501-9150
Mailing Address - Country:US
Mailing Address - Phone:303-304-6215
Mailing Address - Fax:303-845-6250
Practice Address - Street 1:1926 S COFFMAN ST
Practice Address - Street 2:
Practice Address - City:LONGMONT
Practice Address - State:CO
Practice Address - Zip Code:80504-7329
Practice Address - Country:US
Practice Address - Phone:303-776-6596
Practice Address - Fax:303-845-6250
Is Sole Proprietor?:No
Enumeration Date:2007-03-08
Last Update Date:2008-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO5245111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor