Provider Demographics
NPI:1831202886
Name:WEST, WILLIAM E (DC)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:E
Last Name:WEST
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:7900 DR MARTIN LUTHER KING JR STREET N
Mailing Address - Street 2:
Mailing Address - City:ST PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33702-4108
Mailing Address - Country:US
Mailing Address - Phone:727-577-0004
Mailing Address - Fax:727-576-5829
Practice Address - Street 1:7900 DR MARTIN LUTHER KING JR STREET N
Practice Address - Street 2:
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33702-4108
Practice Address - Country:US
Practice Address - Phone:727-577-0004
Practice Address - Fax:727-576-5829
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-16
Last Update Date:2011-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH2952111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL380724000Medicaid
FL88277Medicare ID - Type Unspecified