Provider Demographics
NPI:1881929487
Name:WEST POINT CHIROPRACTIC CLINIC INC.
Entity type:Organization
Organization Name:WEST POINT CHIROPRACTIC CLINIC INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:REN
Authorized Official - Middle Name:
Authorized Official - Last Name:MASSEY
Authorized Official - Suffix:JR
Authorized Official - Credentials:DC
Authorized Official - Phone:662-494-1500
Mailing Address - Street 1:1004 HIGHWAY 45 S
Mailing Address - Street 2:
Mailing Address - City:WEST POINT
Mailing Address - State:MS
Mailing Address - Zip Code:39773-3413
Mailing Address - Country:US
Mailing Address - Phone:662-494-1500
Mailing Address - Fax:662-494-7825
Practice Address - Street 1:1004 HIGHWAY 45 S
Practice Address - Street 2:
Practice Address - City:WEST POINT
Practice Address - State:MS
Practice Address - Zip Code:39773-3413
Practice Address - Country:US
Practice Address - Phone:662-494-1500
Practice Address - Fax:662-494-7825
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-15
Last Update Date:2009-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty