Provider Demographics
NPI:1902557416
Name:WESTPHALIA CHIROPRACTIC
Entity type:Organization
Organization Name:WESTPHALIA CHIROPRACTIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:IAN
Authorized Official - Middle Name:
Authorized Official - Last Name:QUARTERMUS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:989-292-0742
Mailing Address - Street 1:PO BOX 561
Mailing Address - Street 2:
Mailing Address - City:WESTPHALIA
Mailing Address - State:MI
Mailing Address - Zip Code:48894-0561
Mailing Address - Country:US
Mailing Address - Phone:989-587-2225
Mailing Address - Fax:989-587-2227
Practice Address - Street 1:119 W MAIN ST
Practice Address - Street 2:
Practice Address - City:WESTPHALIA
Practice Address - State:MI
Practice Address - Zip Code:48894-9838
Practice Address - Country:US
Practice Address - Phone:989-587-2225
Practice Address - Fax:989-587-2227
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-17
Last Update Date:2022-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitationGroup - Single Specialty