| Mountain State Chiropractic | |
|
310 Market St, Man, WV 25635-1321 | |
| (304) 583-6400 | |
| Not Available |
| Full Name | Mountain State Chiropractic |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 310 Market St, Man, West Virginia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366501447 | NPI | - | NPPES |
| 0208726000 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 823 (West Virginia) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mountain State Chiropractic Po Box 664, Man, WV 25635-0664 Ph: (304) 583-6400 | Mountain State Chiropractic 310 Market St, Man, WV 25635-1321 Ph: (304) 583-6400 |
Dr. Jonathan Matthew Ellis, B.S., D.C. Chiropractor Medicare: Medicare Enrolled Practice Location: 123 Market St, Man, WV 25635 Phone: 304-688-1204 | |
Melissa White, D C Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 310 Market St, Man, WV 25635 Phone: 304-583-6400 Fax: 304-583-6800 | |
John White Iii, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 310 Market St, Man, WV 25635 Phone: 304-583-6400 Fax: 304-583-6800 |