| Bridgeport Family Chiropractic | |
|
150 East Philadelphia Ave, Bridgeport, WV 26330-1520 | |
| (304) 842-7678 | |
| (304) 842-5973 |
| Full Name | Bridgeport Family Chiropractic |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 150 East Philadelphia Ave, Bridgeport, West Virginia |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548350747 | NPI | - | NPPES |
| 2204026000 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 764 (West Virginia) | Primary |
| Provider Name | Jason E Labenne |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1417941659 PECOS PAC ID: 9931144573 Enrollment ID: I20050627000033 |
| Provider Name | Michael A Ielapi |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1457422826 PECOS PAC ID: 8022030758 Enrollment ID: I20051222000201 |
| Mailing Address | Practice Location Address |
|---|---|
| Bridgeport Family Chiropractic 150 East Philadelphia Ave, Bridgeport, WV 26330-1520 Ph: (304) 842-7678 | Bridgeport Family Chiropractic 150 East Philadelphia Ave, Bridgeport, WV 26330-1520 Ph: (304) 842-7678 |
Dr. Kelsey Chae Martin, DC Chiropractor Medicare: Medicare Enrolled Practice Location: 529 E Main St, Bridgeport, WV 26330 Phone: 304-842-4202 | |
Dr. Rachael L Bryant, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 109b Doctors Dr, Bridgeport, WV 26330 Phone: 304-842-4202 Fax: 304-842-6480 | |
Dr. Wesley S Pepper, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 109b Doctors Dr, Bridgeport, WV 26330 Phone: 304-842-4202 Fax: 304-842-6480 | |
Susan Dipetta, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 529 E Main St, Bridgeport, WV 26330 Phone: 304-376-9792 | |
Dr. James W Leonette, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 130 Professional Pl, Bridgeport, WV 26330 Phone: 304-933-9355 Fax: 304-278-3348 | |
Mike Mason Chiropractic Pllc Chiropractor Medicare: Medicare Enrolled Practice Location: 529 E. Main St, Bridgeport, WV 26330 Phone: 304-842-4202 Fax: 304-842-6480 | |
Dr. Steven Todd Show, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 130 Professional Pl, Bridgeport, WV 26330 Phone: 304-933-9355 |