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NPI Code Detail

MEDICARE: NARDONE CHIROPRACTIC,NORTH,PLLC

MEDICARE: NARDONE CHIROPRACTIC,NORTH,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
1111N00000XChiropractor765WV

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
21164417754OTHERNPI

General Provider Information

NPI Number : 1659458545
Entity Type Code : Organization
Provider Name (Legal Business Name) : NARDONE CHIROPRACTIC,NORTH,PLLC
Provider Business Mailing Address
First Line : 126 MELINDA DR
Second Line :
City : WINTERSVILLE
State : OH
Zip : 43953-4049
Country : US
Telephone Number : 304-639-9166
Fax Number :
Provider Business Practice Location Address
First Line : 117 B THREE SPRINGS DR
Second Line :
City : WEIRTON
State : WV
Zip : 26062-3827
Country : US
Telephone Number : 304-723-2494
Fax Number : 304-723-2301
Authorized Official
Title or Position : CHIROPRACTOR
Name : MR. MATTHEW A NARDONE
Credential : DC
Telephone Number : 304-723-2494
Provider Enumeration Date : 11/01/2006
Last Update Date : 04/20/2010

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