Provider Demographics
NPI:1063767390
Name:WESTEMEIR CHIROPRACTIC, PLLC
Entity type:Organization
Organization Name:WESTEMEIR CHIROPRACTIC, PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JASON
Authorized Official - Middle Name:T
Authorized Official - Last Name:WESTEMEIR
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:918-704-4489
Mailing Address - Street 1:7112 S MINGO RD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74133-3201
Mailing Address - Country:US
Mailing Address - Phone:918-615-3533
Mailing Address - Fax:918-615-3534
Practice Address - Street 1:7112 S MINGO RD
Practice Address - Street 2:SUITE 101
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74133-3201
Practice Address - Country:US
Practice Address - Phone:918-615-3533
Practice Address - Fax:918-615-3534
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-24
Last Update Date:2012-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK1205873346OtherNPI