Provider Demographics
NPI:1316206212
Name:WESTOVER, ERIC SCOTT (DC)
Entity Type:Individual
Prefix:DR
First Name:ERIC
Middle Name:SCOTT
Last Name:WESTOVER
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 1:2410 SAN RAMON VALLEY BLVD
Mailing Address - Street 2:STE. 115
Mailing Address - City:SAN RAMON
Mailing Address - State:CA
Mailing Address - Zip Code:94583-1671
Mailing Address - Country:US
Mailing Address - Phone:925-838-2600
Mailing Address - Fax:925-838-2107
Practice Address - Street 1:2410 SAN RAMON VALLEY BLVD
Practice Address - Street 2:STE. 115
Practice Address - City:SAN RAMON
Practice Address - State:CA
Practice Address - Zip Code:94583-1671
Practice Address - Country:US
Practice Address - Phone:925-838-2600
Practice Address - Fax:925-838-2107
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-11
Last Update Date:2015-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA32287111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor