Provider Demographics
NPI:1548205156
Name:WESTERFIELD HEALTH CENTER, INC
Entity Type:Organization
Organization Name:WESTERFIELD HEALTH CENTER, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DENA
Authorized Official - Middle Name:MICHELE
Authorized Official - Last Name:WESTERFIELD
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:636-527-2608
Mailing Address - Street 1:PO BOX 1137
Mailing Address - Street 2:
Mailing Address - City:BALLWIN
Mailing Address - State:MO
Mailing Address - Zip Code:63022-1137
Mailing Address - Country:US
Mailing Address - Phone:636-527-2608
Mailing Address - Fax:636-527-4706
Practice Address - Street 1:920 KEHRS MILL RD
Practice Address - Street 2:
Practice Address - City:BALLWIN
Practice Address - State:MO
Practice Address - Zip Code:63011-2402
Practice Address - Country:US
Practice Address - Phone:636-527-2608
Practice Address - Fax:636-527-4706
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-18
Last Update Date:2008-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO193057OtherBLUE CROSS GROUP PIN
MO000014763Medicare PIN