Provider Demographics
NPI:1881682326
Name:WESTLAND, CHRISTOPHER T (DC)
Entity Type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:T
Last Name:WESTLAND
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 1:8931 CONFERENCE DR
Mailing Address - Street 2:SUITE #3
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33919-4893
Mailing Address - Country:US
Mailing Address - Phone:239-288-5653
Mailing Address - Fax:
Practice Address - Street 1:8931 CONFERENCE DR
Practice Address - Street 2:SUITE #3
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33919-4893
Practice Address - Country:US
Practice Address - Phone:239-288-5653
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-10
Last Update Date:2013-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL8281111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL3814513Medicaid
FL70225Medicare ID - Type Unspecified
FL3814513Medicaid