MEDICARE: WESTOWN CHIROPRACTIC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	820	AZ

General Provider Information

NPI Number	:	1578613758
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WESTOWN CHIROPRACTIC

Provider Business Mailing Address
First Line	:	12414 N 28TH DR STE D
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85029-2488
Country	:	US
Telephone Number	:	602-993-6340
Fax Number	:	602-993-1070

Provider Business Practice Location Address
First Line	:	12414 N 28TH DR STE D
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85029-2488
Country	:	US
Telephone Number	:	602-993-6340
Fax Number	:	602-993-1070

Authorized Official
Title or Position	:	PRESIDENT
Name	:	WILLIAM SIEFKEN
Credential	:	D.C.
Telephone Number	:	602-993-6340

Provider Enumeration Date	:	01/11/2007
Last Update Date	:	07/29/2008

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Directions to “WESTOWN CHIROPRACTIC ” Practice Location

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