Provider Demographics
NPI:1295595890
Name:WEST, SIOBHAN CHRISTINE (BA)
Entity type:Individual
Prefix:MS
First Name:SIOBHAN
Middle Name:CHRISTINE
Last Name:WEST
Suffix:
Gender:F
Credentials:BA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:215 FARMERS ALY
Mailing Address - Street 2:
Mailing Address - City:KALAMAZOO
Mailing Address - State:MI
Mailing Address - Zip Code:49007-4885
Mailing Address - Country:US
Mailing Address - Phone:847-323-6792
Mailing Address - Fax:
Practice Address - Street 1:215 FARMERS ALY
Practice Address - Street 2:
Practice Address - City:KALAMAZOO
Practice Address - State:MI
Practice Address - Zip Code:49007-4885
Practice Address - Country:US
Practice Address - Phone:847-323-6792
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-20
Last Update Date:2024-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program