Van Westen, Corey Michael

Van Westen, Corey Michael is an sole proprietor health care provider with primary practice located at 15850 W Bluemound Rd Suite 306, Brookfield WI 53005-6022. He recently has only one registered license in Chiropractic Providers / Rehabilitation, which is considered as his primary health care specialty. Van Westen, Corey Michael can be contacted via phone (262) 226-8349.

Contact Information

Primary practice address
15850 W Bluemound Rd Suite 306 Brookfield WI 53005-6022
Phone: (262) 226-8349
Fax: (262) 226-8352
Website:
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Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Rehabilitation 111NR0400X 4410-12 Wisconsin

Profile Details

NPI number 1588628473
LBN Legal business name Van Westen, Corey Michael
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 17th, 2006
Last updated Feb 5th, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1588628473 NPPES
Wisconsin Other 1275814345 GROUP NPI
Wisconsin Other 15886284733 GROUP NPI
Wisconsin MEDICAID 100002627 GROUP NPI
Wisconsin Other 39576 GROUP NPI

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