Mountain State Chiropractic in Man - Chiropractor
Mountain State Chiropractic - NPI 1366501447
Mountain State Chiropractic is a Chiropractor in Man, . Mountain State Chiropractic practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Mountain State Chiropractic is 1366501447. The last update date is 2020-08-22.
Mountain State Chiropractic's current location address is Po Box 664, Man, . You can contact this provider via phone number 3045836400. The mailing address for Mountain State Chiropractic is Po Box 664, Man, . To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Mountain State Chiropractic |
|---|---|
| Address | Po Box 664, Man, |
| Phone Number | 3045836400 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DOCTOR |
|---|---|
| Authorized Official Name | Ellis Matthew Johnathan |
| Credentials | D.C |
| Telephone Number | 3045836400 |
NPI Number Detail
| NPI Number | 1366501447 |
|---|---|
| Provider Enumeration Date | 2006-12-06 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | Po Box 664 |
|---|---|
| City | Man |
| State | (WV) |
| Post Code | 256350664 |
| Phone Number | 3045836400 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 823 |
|
Definition: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its inte |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 208726000 | WV | -- |
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What is the Mountain State Chiropractic's 1366501447?
The Mountain State Chiropractic's NPI (National Provider Identifier) Number is 1366501447. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Mountain State Chiropractic's physical address?
The Mountain State Chiropractic is physically located at Po Box 664, in the city of Man, WV, with the postal code 256350664.
What is the Mountain State Chiropractic's specialty and taxonomy code?
The Mountain State Chiropractic's specialty is Chiropractor, and the corresponding taxonomy code is 111N00000X.
When was the Mountain State Chiropractic's 1366501447 issued?
The Mountain State Chiropractic's 1366501447 was issued on 2006-12-06.
As of what date were the details related to Mountain State Chiropractic most recently updated or revised?
The information pertaining to Mountain State Chiropractic, including its address, specialty, and other relevant details, was last updated or revised on 2020-08-22.
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