Provider Demographics
NPI:1144560038
Name:WEILAND, HILLARY YOUNG (DC)
Entity type:Individual
Prefix:
First Name:HILLARY
Middle Name:YOUNG
Last Name:WEILAND
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6622 WILLOW PARK DR
Mailing Address - Street 2:SUITE 202
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34109-9016
Mailing Address - Country:US
Mailing Address - Phone:239-745-5561
Mailing Address - Fax:
Practice Address - Street 1:6622 WILLOW PARK DR
Practice Address - Street 2:SUITE 202
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34109-9016
Practice Address - Country:US
Practice Address - Phone:239-745-5561
Practice Address - Fax:239-631-5621
Is Sole Proprietor?:No
Enumeration Date:2013-02-28
Last Update Date:2016-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0006963111N00000X
FLCH11255111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLHY446ZMedicare PIN