| Enliven Chiropractic Pllc | |
|
130 Professional Pl, Bridgeport, WV 26330 | |
| (304) 933-9355 | |
| Not Available |
| Full Name | Enliven Chiropractic Pllc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 130 Professional Pl, 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 |
|---|---|---|---|
| 1588911770 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 928 (West Virginia) | Primary |
| Provider Name | James William Leonette |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1235377896 PECOS PAC ID: 4385793041 Enrollment ID: I20120927000190 |
| Provider Name | Shane Piatt |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1679922884 PECOS PAC ID: 3577851864 Enrollment ID: I20161020000172 |
| Provider Name | Matthew D Mason |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1356866818 PECOS PAC ID: 1456619907 Enrollment ID: I20171211002396 |
| Provider Name | Steven T Show |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1326586553 PECOS PAC ID: 4587907571 Enrollment ID: I20190514002727 |
| Mailing Address | Practice Location Address |
|---|---|
| Enliven Chiropractic Pllc 130 Professional Pl, Bridgeport, WV 26330-4599 Ph: (304) 933-9355 | Enliven Chiropractic Pllc 130 Professional Pl, Bridgeport, WV 26330 Ph: (304) 933-9355 |
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 |