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NPI Code Detail

MEDICARE: WV CHIROPRACTIC AND WELLNESS, PLLC

MEDICARE: WV CHIROPRACTIC AND WELLNESS, PLLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractor

General Provider Information

NPI Number : 1093287112
Entity Type Code : Organization
Provider Name (Legal Business Name) : WV CHIROPRACTIC AND WELLNESS, PLLC
Provider Business Mailing Address
First Line : 141 RIVERVIEW DR
Second Line :
City : WINFIELD
State : WV
Zip : 25213-7966
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2729 MAIN ST
Second Line :
City : HURRICANE
State : WV
Zip : 25526-1420
Country : US
Telephone Number : 304-518-5179
Fax Number : 304-586-6586
Authorized Official
Title or Position : DOCTOR OF CHIROPRACTIC
Name : DR. DANIEL BOGGS
Credential : DC
Telephone Number : 304-923-7943
Provider Enumeration Date : 12/31/2018
Last Update Date : 10/14/2021

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Directions to “WV CHIROPRACTIC AND WELLNESS, PLLC ” Practice Location

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