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MOUNTAIN STATE SPINAL CARE NPI 1861609638


NPI Information

NPI: 1861609638
Provider Name: MOUNTAIN STATE SPINAL CARE
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
965 HARTMAN RUN RD
SUITE 1101
MORGANTOWN, WV
ZIP 26505
Phone: (304) 292-7740
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MOUNTAIN STATE SPINAL CARE is a chiropractor in Morgantown, 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 STATE SPINAL CARE NPI is 1861609638. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

965 HARTMAN RUN RD
SUITE 1101
MORGANTOWN, WV
ZIP 26505-791
Phone: (304) 292-7740
Fax: (304) 292-7741

The provider's authorized official is Lucas Chadd Watterson .
The authorized official title is Partner and has the following contact phone number (304) 292-7740.

The enumeration date for this NPI number is 5/17/2007 and was last updated on 7/9/2008.


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
1111N00000XChiropractor770WEST VIRGINIANo
2111N00000XChiropractor771WEST VIRGINIAYes

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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