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920 Charles St, Wellsburg, WV 26070-1671 | |
(304) 737-7234 | |
(304) 737-7231 |
Full Name | |
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Type | Facility |
Speciality | Chiropractor |
Location | 920 Charles St, Wellsburg, 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 |
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1518111863 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | 894 (West Virginia) | Primary |
Provider Name | Tara L Thomforde |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1720195019 PECOS PAC ID: 0042227837 Enrollment ID: I20090226000473 |
Mailing Address | Practice Location Address |
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920 Charles St, Wellsburg, WV 26070-1671 Ph: (304) 737-7234 | 920 Charles St, Wellsburg, WV 26070-1671 Ph: (304) 737-7234 |