Provider Demographics
NPI:1003068446
Name:WESTERMAN P R INC
Entity Type:Organization
Organization Name:WESTERMAN P R INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT OF WESTERMAN ENTERPRISES
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:WESTERMAN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:520-498-0082
Mailing Address - Street 1:7225 N MONA LISA RD
Mailing Address - Street 2:SUITE 210
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85741-4529
Mailing Address - Country:US
Mailing Address - Phone:520-498-0082
Mailing Address - Fax:520-498-0210
Practice Address - Street 1:7225 N MONA LISA RD
Practice Address - Street 2:SUITE 210
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85741-4529
Practice Address - Country:US
Practice Address - Phone:520-498-0082
Practice Address - Fax:520-498-0210
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-16
Last Update Date:2009-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ5940111N00000X
AZ7914111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZZ60146OtherMEDICARE ID-TYPE UNSPECIFIED