Provider Demographics
NPI:1508948878
Name:WESTOBY CHRIOPRACTIC INC.
Entity Type:Organization
Organization Name:WESTOBY CHRIOPRACTIC INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:CRAIG
Authorized Official - Middle Name:A
Authorized Official - Last Name:WESTOBY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:559-782-3090
Mailing Address - Street 1:130 N VILLA ST
Mailing Address - Street 2:
Mailing Address - City:PORTERVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:93257-3218
Mailing Address - Country:US
Mailing Address - Phone:559-782-3090
Mailing Address - Fax:559-782-3097
Practice Address - Street 1:130 N VILLA ST
Practice Address - Street 2:
Practice Address - City:PORTERVILLE
Practice Address - State:CA
Practice Address - Zip Code:93257-3218
Practice Address - Country:US
Practice Address - Phone:559-782-3090
Practice Address - Fax:559-782-3097
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC0178520111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty