| Julia Mishoe, | |
|
3102 Chesterfield Ave, Charleston, WV 25304-1214 | |
| (304) 346-6688 | |
| Not Available |
| Full Name | Julia Mishoe |
|---|---|
| Gender | Female |
| Speciality | Chiropractor |
| Location | 3102 Chesterfield Ave, Charleston, West Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184986309 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 936 (West Virginia) | Primary |
| Provider Name | Mishoe Chiropractic Pllc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1942643481 PECOS PAC ID: 0941449565 Enrollment ID: O20130611000859 |
| Mailing Address | Practice Location Address |
|---|---|
| Julia Mishoe, 3102 Chesterfield Ave, Charleston, WV 25304-1214 Ph: (304) 346-6688 | Julia Mishoe, 3102 Chesterfield Ave, Charleston, WV 25304-1214 Ph: (304) 346-6688 |
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