Search › Colorado › 171100000X
Jonathan Weiner, L.AC
NPI 1487913208 · on the registry since 2012 · sole proprietor
Practice
- Address
- 3035 Oneal Pkwy
#V11
Boulder, CO 80301 - Phone
- (917) 829-0220
- Organisation at this address
- Brian Kim Llc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 171100000X
171100000X
- Also registered as
- 171100000X
- Licence states on file
- CO, NY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2012-05-14
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Colorado