Provider Demographics
NPI:1184807471
Name:WESTMORELAND CHIROPRACTIC CENTER, INC.
Entity type:Organization
Organization Name:WESTMORELAND CHIROPRACTIC CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:MARTIN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:304-522-1787
Mailing Address - Street 1:1166 ADAMS AVE
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON
Mailing Address - State:WV
Mailing Address - Zip Code:25704-1612
Mailing Address - Country:US
Mailing Address - Phone:304-522-1787
Mailing Address - Fax:304-522-4571
Practice Address - Street 1:1166 ADAMS AVE
Practice Address - Street 2:
Practice Address - City:HUNTINGTON
Practice Address - State:WV
Practice Address - Zip Code:25704-1612
Practice Address - Country:US
Practice Address - Phone:304-522-1787
Practice Address - Fax:304-522-4571
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-10
Last Update Date:2007-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV423261QH0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV0593371Medicare PIN
WVT32415Medicare UPIN