Provider Demographics
NPI:1790856052
Name:WEBSTER, ROSS K (DC)
Entity Type:Individual
Prefix:DR
First Name:ROSS
Middle Name:K
Last Name:WEBSTER
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 1:850 E VISTA WAY
Mailing Address - Street 2:SUITE A
Mailing Address - City:VISTA
Mailing Address - State:CA
Mailing Address - Zip Code:92084-5238
Mailing Address - Country:US
Mailing Address - Phone:760-630-0426
Mailing Address - Fax:760-630-0456
Practice Address - Street 1:850 E VISTA WAY
Practice Address - Street 2:SUITE A
Practice Address - City:VISTA
Practice Address - State:CA
Practice Address - Zip Code:92084-5238
Practice Address - Country:US
Practice Address - Phone:760-630-0426
Practice Address - Fax:760-630-0456
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC20836111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor