Healthcare Provider Details
I. General information
NPI: 1477483592
Provider Name (Legal Business Name): WEST SPINE CO.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/20/2026
Last Update Date: 05/20/2026
Certification Date: 05/20/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
731 SOUTHGATE PKWY
CAMBRIDGE OH
43725-2962
US
IV. Provider business mailing address
6245 CASSINGHAM CT
ZANESVILLE OH
43701-9816
US
V. Phone/Fax
- Phone: 740-260-6763
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 111N00000X |
| Taxonomy | Chiropractor |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
IAN
WEST
Title or Position: OWNER/CHIROPRACTOR
Credential: D.C.
Phone: 740-260-6763