Provider Demographics
NPI:1043356165
Name:WESTMORELAND CHIROPRACTIC & REHAB ASSOCIATES LLC
Entity type:Organization
Organization Name:WESTMORELAND CHIROPRACTIC & REHAB ASSOCIATES LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:REED
Authorized Official - Middle Name:R H
Authorized Official - Last Name:NELSON
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:724-325-2112
Mailing Address - Street 1:1390 ROUTE 286
Mailing Address - Street 2:
Mailing Address - City:EXPORT
Mailing Address - State:PA
Mailing Address - Zip Code:15632-1947
Mailing Address - Country:US
Mailing Address - Phone:724-325-2112
Mailing Address - Fax:724-325-2111
Practice Address - Street 1:1390 ROUTE 286
Practice Address - Street 2:
Practice Address - City:EXPORT
Practice Address - State:PA
Practice Address - Zip Code:15632-1947
Practice Address - Country:US
Practice Address - Phone:724-325-2112
Practice Address - Fax:724-325-2111
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-29
Last Update Date:2009-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA001502142OtherHIGHMARK BLUE CROSS SHIEL