Healthcare Provider Details

I. General information

NPI: 1629150602
Provider Name (Legal Business Name): WEST BAY CHIROPRACTIC CENTER, P. C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/19/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5631 COTTAGE HILL RD
MOBILE AL
36609-4210
US

IV. Provider business mailing address

5631 COTTAGE HILL RD
MOBILE AL
36609-4210
US

V. Phone/Fax

Practice location:
  • Phone: 251-661-3330
  • Fax: 251-661-3317
Mailing address:
  • Phone: 251-661-3330
  • Fax: 251-661-3317

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number1029
License Number StateAL

VIII. Authorized Official

Name: DR. JUDY A. LIPKA
Title or Position: PRESIDENT
Credential: D.C.
Phone: 251-661-3330