Provider Demographics
NPI:1679715577
Name:WEST, CATHERINE PILIBOS (DC)
Entity type:Individual
Prefix:
First Name:CATHERINE
Middle Name:PILIBOS
Last Name:WEST
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:CATHERINE
Other - Middle Name:
Other - Last Name:PILIBOS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:PO BOX 605
Mailing Address - Street 2:
Mailing Address - City:ANCHOR POINT
Mailing Address - State:AK
Mailing Address - Zip Code:99556-0605
Mailing Address - Country:US
Mailing Address - Phone:415-608-7559
Mailing Address - Fax:
Practice Address - Street 1:15971 STERLING HIGHWAY
Practice Address - Street 2:
Practice Address - City:NINILCHIK
Practice Address - State:AK
Practice Address - Zip Code:99639
Practice Address - Country:US
Practice Address - Phone:415-608-7559
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-24
Last Update Date:2019-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC-31217111N00000X
AKCHIC598111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
AKCHIC598OtherALASKA CHIROPRACTIC LICENSE NUMBER
CADC31217OtherCALIFORNIA CHIROPRACTIC LICENSE NUMBER