| Dipetta Chiropractic Clinic Pllc | |
|
2 Chenoweth Dr Ste D, Bridgeport, WV 26330-0257 | |
| (304) 376-9792 | |
| Not Available |
| Full Name | Dipetta Chiropractic Clinic Pllc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 2 Chenoweth Dr Ste D, Bridgeport, 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 |
|---|---|---|---|
| 1619694486 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Primary |
| Provider Name | Susan A Dipetta |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1184942807 PECOS PAC ID: 5294923074 Enrollment ID: I20101221000250 |
| Mailing Address | Practice Location Address |
|---|---|
| Dipetta Chiropractic Clinic Pllc 109 Carriage Ln, Bridgeport, WV 26330-1346 Ph: (304) 376-9792 | Dipetta Chiropractic Clinic Pllc 2 Chenoweth Dr Ste D, Bridgeport, WV 26330-0257 Ph: (304) 376-9792 |
Dr. Kelsey Chae Martin, DC Chiropractor Medicare: Medicare Enrolled Practice Location: 529 E Main St, Bridgeport, WV 26330 Phone: 304-842-4202 | |
Dr. Rachael L Bryant, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 109b Doctors Dr, Bridgeport, WV 26330 Phone: 304-842-4202 Fax: 304-842-6480 | |
Dr. Wesley S Pepper, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 109b Doctors Dr, Bridgeport, WV 26330 Phone: 304-842-4202 Fax: 304-842-6480 | |
Susan Dipetta, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 529 E Main St, Bridgeport, WV 26330 Phone: 304-376-9792 | |
Dr. James W Leonette, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 130 Professional Pl, Bridgeport, WV 26330 Phone: 304-933-9355 Fax: 304-278-3348 | |
Trinity Chiropractic, Pllc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 139 Conference Center Way Ste 101a, Bridgeport, WV 26330 Phone: 304-808-6985 | |
Mike Mason Chiropractic Pllc Chiropractor Medicare: Medicare Enrolled Practice Location: 529 E. Main St, Bridgeport, WV 26330 Phone: 304-842-4202 Fax: 304-842-6480 |