Provider Demographics
NPI:1770819906
Name:WESTFIELD FAMILY CHIROPRACTIC, LLC
Entity Type:Organization
Organization Name:WESTFIELD FAMILY CHIROPRACTIC, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:SHEFALI
Authorized Official - Middle Name:
Authorized Official - Last Name:JOBANPUTRA
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:609-540-2224
Mailing Address - Street 1:2908 BROADWAY RD
Mailing Address - Street 2:
Mailing Address - City:EASTON
Mailing Address - State:PA
Mailing Address - Zip Code:18040-7279
Mailing Address - Country:US
Mailing Address - Phone:609-540-2224
Mailing Address - Fax:
Practice Address - Street 1:141 SOUTH AVE
Practice Address - Street 2:SUITE #6
Practice Address - City:FANWOOD
Practice Address - State:NJ
Practice Address - Zip Code:07023-1224
Practice Address - Country:US
Practice Address - Phone:908-490-0010
Practice Address - Fax:908-490-0010
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-22
Last Update Date:2009-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00588000111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty