Individual
DR. COREY MICHAEL VAN WESTEN
Active
Individual
DR. COREY MICHAEL VAN WESTEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
4410-12
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100002627
—
WI
01
—
1275814345
GROUP NPI
WI
01
—
15886284733
INDIVIDUAL NPI
WI
01
—
39576
BLUE CROSS BLUE SHIELD
IA
Enumeration date
04/17/2006
Last updated
02/05/2016
Update your record
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