Provider Demographics
NPI:1629150602
Name:WEST BAY CHIROPRACTIC CENTER, P. C.
Entity Type:Organization
Organization Name:WEST BAY CHIROPRACTIC CENTER, P. C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JUDY
Authorized Official - Middle Name:A
Authorized Official - Last Name:LIPKA
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:251-661-3330
Mailing Address - Street 1:5631 COTTAGE HILL RD
Mailing Address - Street 2:
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36609-4210
Mailing Address - Country:US
Mailing Address - Phone:251-661-3330
Mailing Address - Fax:251-661-3317
Practice Address - Street 1:5631 COTTAGE HILL RD
Practice Address - Street 2:
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36609-4210
Practice Address - Country:US
Practice Address - Phone:251-661-3330
Practice Address - Fax:251-661-3317
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
AL1029111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty