Healthcare Provider Details

I. General information

NPI: 1043356165
Provider Name (Legal Business Name): WESTMORELAND CHIROPRACTIC & REHAB ASSOCIATES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/29/2007
Last Update Date: 09/18/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1390 ROUTE 286
EXPORT PA
15632-1947
US

IV. Provider business mailing address

1390 ROUTE 286
EXPORT PA
15632-1947
US

V. Phone/Fax

Practice location:
  • Phone: 724-325-2112
  • Fax: 724-325-2111
Mailing address:
  • Phone: 724-325-2112
  • Fax: 724-325-2111

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

# 1
Identifier001502142
Identifier TypeOTHER
Identifier StatePA
Identifier IssuerHIGHMARK BLUE CROSS SHIEL

VIII. Authorized Official

Name: DR. REED R H NELSON
Title or Position: MEMBER
Credential: DC
Phone: 724-325-2112