Provider Demographics
NPI:1205873346
Name:WESTEMEIR, JASON TODD (DC)
Entity type:Individual
Prefix:DR
First Name:JASON
Middle Name:TODD
Last Name:WESTEMEIR
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 1:7112 S MINGO RD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74133-3201
Mailing Address - Country:US
Mailing Address - Phone:918-949-6622
Mailing Address - Fax:918-872-9913
Practice Address - Street 1:7112 S MINGO RD
Practice Address - Street 2:SUITE 101
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74133-3201
Practice Address - Country:US
Practice Address - Phone:918-949-6622
Practice Address - Fax:918-872-9913
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-31
Last Update Date:2014-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC30193111N00000X
OK3791111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
OKOK700205Medicare PIN
OKOKB5131Medicare PIN