Glen L Westover in Pinehurst - Chiropractor

Glen L Westover - NPI 1215005277

Glen L Westover is a Chiropractor in Pinehurst, Idaho. Glen L Westover practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Glen L Westover is 1215005277. The last update date is 2007-07-08.

Glen L Westover's current location address is 301 S Division St, Pinehurst, Idaho. You can contact this provider via phone number 2086822122 and fax number 2086822825. The mailing address for Glen L Westover is 301 S Division St, Pinehurst, Idaho. To know further, please read the information below!

Provider Profile Detail

Provider Name Glen L Westover
Address 301 S Division St, Pinehurst, Idaho
Phone Number 2086822122
Fax Number 2086822825
Sole Proprietor Y
Credentials D.C.

NPI Number Detail

NPI Number 1215005277
Provider Enumeration Date 2006-11-30
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 301 S Division St
City Pinehurst
State Idaho (ID)
Post Code 838509767
Phone Number 2086822122
Fax Number 2086822825

Provider's Primary Taxonomy Detail

Speciality Chiropractor
Taxonomy 111N00000X
Licence No CHIA-347
Definition:
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its inte

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
C3555 ID BLUE CROSS
10139794 ID BLUE SHIELD

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FAQs about Glen L Westover

What is the unique 10-digit identification code assigned to Glen L Westover by the Centers for Medicare & Medicaid Services?

The Glen L Westover has been issued the NPI (National Provider Identifier) 1215005277, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where Glen L Westover is physically located?

The Glen L Westover is physically situated at the following address: 301 S Division St, Pinehurst, ID, 838509767.

What is the Glen L Westover's specialty and taxonomy code?

The Glen L Westover's specialty is Chiropractor, and the corresponding taxonomy code is 111N00000X.

On what date did Glen L Westover receive its 1215005277 assignment from the Centers for Medicare & Medicaid Services?

The Glen L Westover was assigned its 1215005277 on 2006-11-30, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information pertaining to Glen L Westover, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Glen L Westover, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.

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