Provider Demographics
NPI:1598896565
Name:JAMES C WESTON D C CHIROPRACTIC PROFESSIONAL CORPORATION
Entity Type:Organization
Organization Name:JAMES C WESTON D C CHIROPRACTIC PROFESSIONAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:CHARLES
Authorized Official - Last Name:WESTON
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:805-687-1885
Mailing Address - Street 1:3015 STATE ST STE B
Mailing Address - Street 2:
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93105-3330
Mailing Address - Country:US
Mailing Address - Phone:805-687-1885
Mailing Address - Fax:805-687-1895
Practice Address - Street 1:3015 STATE ST STE B
Practice Address - Street 2:
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93105-3330
Practice Address - Country:US
Practice Address - Phone:805-687-1885
Practice Address - Fax:805-687-1895
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-08
Last Update Date:2013-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA12574111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAY02474Medicare UPIN
CAWDC12574BMedicare ID - Type Unspecified