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MOUNTAIN MOMMA WELLNESS INC NPI 1043785587


NPI Information

NPI: 1043785587
Provider Name: MOUNTAIN MOMMA WELLNESS INC
Classification: Chiropractor - 111N00000X
Entity Type: Organization

CLIA Number: 51D2026226

Address:
6250 GRAND CENTRAL AVE
PARKERSBURG, WV
ZIP 26105
Phone: (304) 481-4751
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MOUNTAIN MOMMA WELLNESS INC is a chiropractor in Parkersburg, WV. The provider is 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 interrelationship with other body systems. MOUNTAIN MOMMA WELLNESS INC NPI is 1043785587. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

6250 GRAND CENTRAL AVE
PARKERSBURG, WV
ZIP 26105-924
Phone: (304) 481-4751

The provider's authorized official is Jean K Hesson .
The authorized official title is Owner and has the following contact phone number (304) 481-4751.

The CLIA number assigned to this NPI record is 51D2026226 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 10/11/2018 and was last updated on 10/11/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1111N00000XChiropractorYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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