Provider Demographics
NPI:1619435476
Name:WESTERBECK, COLTON M (DC)
Entity Type:Individual
Prefix:DR
First Name:COLTON
Middle Name:M
Last Name:WESTERBECK
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 1:105 E MADISON ST
Mailing Address - Street 2:
Mailing Address - City:WINTERSET
Mailing Address - State:IA
Mailing Address - Zip Code:50273-2412
Mailing Address - Country:US
Mailing Address - Phone:515-462-4644
Mailing Address - Fax:515-462-4644
Practice Address - Street 1:105 E MADISON ST
Practice Address - Street 2:
Practice Address - City:WINTERSET
Practice Address - State:IA
Practice Address - Zip Code:50273-2412
Practice Address - Country:US
Practice Address - Phone:515-462-4644
Practice Address - Fax:515-462-2100
Is Sole Proprietor?:No
Enumeration Date:2019-03-11
Last Update Date:2019-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA095752111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor