| Jefferson Chiropractic Center, Inc. | |
|
7486 Martinsburg Pike, Shepherdstown, WV 25443 | |
| (304) 876-8200 | |
| (304) 876-6826 |
| Full Name | Jefferson Chiropractic Center, Inc. |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 7486 Martinsburg Pike, Shepherdstown, 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 |
|---|---|---|---|
| 1437195864 | NPI | - | NPPES |
| 0132165000 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 644 (West Virginia) | Primary |
| Provider Name | Brian S Erickson |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1174563928 PECOS PAC ID: 7214949718 Enrollment ID: I20060627000399 |
| Mailing Address | Practice Location Address |
|---|---|
| Jefferson Chiropractic Center, Inc. 7486 Martinsburg Pike, Shepherdstown, WV 25443 Ph: (304) 876-8200 | Jefferson Chiropractic Center, Inc. 7486 Martinsburg Pike, Shepherdstown, WV 25443 Ph: (304) 876-8200 |
Brian S. Erickson, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 7486 Martinsburg Pike, Shepherdstown, WV 25443 Phone: 304-876-8200 Fax: 304-876-6826 | |
Dr. David Vernon Miljour, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 51 Maddex Dr, Maddex Professional Center, Shepherdstown, WV 25443 Phone: 304-876-2230 Fax: 304-876-3943 |