Provider Demographics
NPI:1366095028
Name:WEST, ANDREW SEAN (DR OF CHIROPRACTIC)
Entity type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:SEAN
Last Name:WEST
Suffix:
Gender:M
Credentials:DR OF CHIROPRACTIC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2726 NORTH LAKE DRIVE
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29212-8708
Mailing Address - Country:US
Mailing Address - Phone:803-463-5074
Mailing Address - Fax:
Practice Address - Street 1:252 HARBISON BLVD STE O
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29212-2244
Practice Address - Country:US
Practice Address - Phone:803-798-8844
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-07-22
Last Update Date:2023-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC4426111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor