| |
3761 Teays Valley Rd, Hurricane, WV 25526-9705 | |
(307) 476-0118 | |
(304) 760-1189 |
Full Name | |
---|---|
Type | Facility |
Speciality | Neuromusculoskeletal Medicine, Sports Medicine |
Location | 3761 Teays Valley Rd, Hurricane, West Virginia |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1689773327 | NPI | - | NPPES |
CH0555 | Other | WV | RAILROAD MEDICARE NUMBER |
4000457000 | Medicaid | WV | |
9309691 | Other | WV | MEDICARE GROUP NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111NX0800X | Chiropractor - Orthopedic | 729 (West Virginia) | Secondary |
204C00000X | Neuromusculoskeletal Medicine, Sports Medicine | 940 (West Virginia) | Primary |
Mailing Address | Practice Location Address |
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3761 Teays Valley Rd, Hurricane, WV 25526-9705 Ph: (307) 476-0118 | 3761 Teays Valley Rd, Hurricane, WV 25526-9705 Ph: (307) 476-0118 |