Provider Demographics
NPI:1265643589
Name:WEST, CHRISTINA E (DC)
Entity type:Individual
Prefix:DR
First Name:CHRISTINA
Middle Name:E
Last Name:WEST
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14 BRYSON DR
Mailing Address - Street 2:
Mailing Address - City:SUTTER CREEK
Mailing Address - State:CA
Mailing Address - Zip Code:95685-4118
Mailing Address - Country:US
Mailing Address - Phone:209-267-8252
Mailing Address - Fax:209-267-5565
Practice Address - Street 1:14 BRYSON DR
Practice Address - Street 2:
Practice Address - City:SUTTER CREEK
Practice Address - State:CA
Practice Address - Zip Code:95685-4118
Practice Address - Country:US
Practice Address - Phone:209-267-8252
Practice Address - Fax:209-267-5565
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-25
Last Update Date:2020-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20440111NI0013X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NI0013XChiropractic ProvidersChiropractorIndependent Medical Examiner
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA20440OtherCHIROPRACTIC LICENSE NUMB
CA20440OtherCHIROPRACTIC LICENSE NUMB
CAM-186339OtherFICTIOUS BUSINESS #
CAU27415Medicare UPIN