Provider Demographics
NPI:1679689228
Name:WEST, SUSAN ROBBINS (DC)
Entity Type:Individual
Prefix:DR
First Name:SUSAN
Middle Name:ROBBINS
Last Name:WEST
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:171 FRONT ST SW
Mailing Address - Street 2:SUITE 103
Mailing Address - City:DANVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:94526-3348
Mailing Address - Country:US
Mailing Address - Phone:925-838-8111
Mailing Address - Fax:925-838-9511
Practice Address - Street 1:171 FRONT ST SW
Practice Address - Street 2:SUITE 103
Practice Address - City:DANVILLE
Practice Address - State:CA
Practice Address - Zip Code:94526-3348
Practice Address - Country:US
Practice Address - Phone:925-838-8111
Practice Address - Fax:925-838-8111
Is Sole Proprietor?:No
Enumeration Date:2006-08-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA22261111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC0222610Medicare ID - Type Unspecified