Doctor Name: | ANDREW EDMUND WEST |
NPI Number: | 1619970209 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.C. |
License Number: | 006.0070788 |
Business Practice Address: | 333 State Route 11 Champlain, NY - 129194817 |
Business Phone Number: | 5182972723 |
Business Fax Number: | 5182973364 |
Mailing Address: | Po Box 3176, CHAMPLAIN |
State: | NY |
Postal Code: | 129193176 |
Phone Number: | 5182972723 |
Fax Number: | 5182973364 |
NPI Enumeration Date: | 05/27/2005 |
NPI Last Update Date: | 11/24/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | 006.0070788 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | VT |
Taxonomy Type: | Chiropractic Providers |
Taxonomy Classification: | Chiropractor |
Taxonomy Specialization: | |
Taxonomy 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 interrelationship with other body systems. |