Provider Demographics
NPI:1447549472
Name:WEST, JEFFREY EARL (DC)
Entity type:Individual
Prefix:DR
First Name:JEFFREY
Middle Name:EARL
Last Name:WEST
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1401 STONE RD STE 302A
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14615-1537
Mailing Address - Country:US
Mailing Address - Phone:585-730-4891
Mailing Address - Fax:585-730-7712
Practice Address - Street 1:1401 STONE RD STE 302A
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14615-1537
Practice Address - Country:US
Practice Address - Phone:585-730-4891
Practice Address - Fax:585-730-7712
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-30
Last Update Date:2023-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX-012152-1111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor