Provider Demographics
NPI:1588829667
Name:DR CHRISTOPHER T WESTLAND PA
Entity Type:Organization
Organization Name:DR CHRISTOPHER T WESTLAND PA
Other - Org Name:WESTLAND CHIROPRACTIC CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:T
Authorized Official - Last Name:WESTLAND
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:239-288-5653
Mailing Address - Street 1:8931 CONFERENCE DR
Mailing Address - Street 2:SUITE #3
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33919-4893
Mailing Address - Country:US
Mailing Address - Phone:239-288-5653
Mailing Address - Fax:239-288-5692
Practice Address - Street 1:8931 CONFERENCE DR
Practice Address - Street 2:SUITE #3
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33919-4893
Practice Address - Country:US
Practice Address - Phone:239-288-5653
Practice Address - Fax:239-288-5692
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-28
Last Update Date:2013-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL8281261QH0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL70225Medicare PIN
FLU80561Medicare UPIN