Provider Type Icon

MOUNTAINEER CHIROPRACTIC P.L.L.C. NPI 1316157092


NPI Information

NPI: 1316157092
Provider Name: MOUNTAINEER CHIROPRACTIC, P.L.L.C.

Doing Business As: MOUNTAINEER CHIROPRACTIC

Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
2108 CAMDEN AVE
SUITE D
PARKERSBURG, WV
ZIP 26101
Phone: (304) 422-9600
Get Directions

MOUNTAINEER CHIROPRACTIC, P.L.L.C. 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. MOUNTAINEER CHIROPRACTIC, P.L.L.C. NPI is 1316157092. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Mountaineer Chiropractic.

The provider's business location address is:

2108 CAMDEN AVE
SUITE D
PARKERSBURG, WV
ZIP 26101-672
Phone: (304) 422-9600
Fax: (304) 422-9603

The provider's authorized official is Stephen Boles Wells .
The authorized official title is Manager / Owner and has the following contact phone number (304) 422-9600.

The enumeration date for this NPI number is 5/23/2007 and was last updated on 8/8/2016.


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
1111N00000XChiropractor664WEST VIRGINIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1001710889OTHERMSBCBS
20132314000MEDICAIDWEST VIRGINIA
3U80574MEDICARE UPINWEST VIRGINIA
4MO9376471MEDICARE PINWEST VIRGINIA

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.