| Short Chiropractic Inc | |
|
99 Cracker Barrel Drive, Suite 200, Barboursville, WV 25504-1622 | |
| (304) 733-4616 | |
| (304) 733-4818 |
| Full Name | Short Chiropractic Inc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 99 Cracker Barrel Drive, Barboursville, 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 |
|---|---|---|---|
| 1952487563 | NPI | - | NPPES |
| 0131767000 | Medicaid | WV | |
| 1538197702 | Other | WV | DR SHORT NPI INDIVIDUAL # |
| 2202061000 | Medicaid | WV | |
| 760 | Other | WV | DR KNIPP LICENSE # |
| 000000223716 | Other | WV | SHORT ANTHEM # |
| 545 | Other | WV | DR SHORT LICENSE # |
| 1255377057 | Other | WV | DR KNIPP NPI INDIVIDUAL # |
| 350047718 | Other | WV | DR SHORT RAILROAD # |
| 4342024 | Other | WV | AETNA # FOR DR SHORT |
| 7073344 | Other | WV | DR KNIPP AETNA # |
| 1059296 | Other | WV | DR SHORT WC ID |
| 3810005988 | Medicaid | WV | |
| 1255377057 | Other | WV | DR KNIPP WC # |
| BC/BS | Other | WV | BCBS # |
| 000000223714 | Other | WV | ANTHAM DR KNIPP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 760 (West Virginia) | Primary |
| 111N00000X | Chiropractor | 545 (West Virginia) | Secondary |
| Provider Name | Brett A Short |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1538197702 PECOS PAC ID: 0547352064 Enrollment ID: I20110106001239 |
| Provider Name | Destiny C Cooper |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1013257377 PECOS PAC ID: 1658518782 Enrollment ID: I20130509000498 |
| Provider Name | Eric Cooper |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1740520014 PECOS PAC ID: 7719124841 Enrollment ID: I20130509000529 |
| Provider Name | Luke Allen Short |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1164162988 PECOS PAC ID: 0446646913 Enrollment ID: I20220408002254 |
| Mailing Address | Practice Location Address |
|---|---|
| Short Chiropractic Inc Suite 200 99 Cracker Barrel Drive, Barboursville, WV 25504-1622 Ph: (304) 733-4616 | Short Chiropractic Inc 99 Cracker Barrel Drive, Suite 200, Barboursville, WV 25504-1622 Ph: (304) 733-4616 |
Roger Jack Harris Jr., D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 6430 Us Route 60 E, Barboursville, WV 25504 Phone: 304-736-4111 Fax: 304-736-0334 | |
Dr. Robert Scott Nease, DC CHIROPRACTIC PHYS Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 6430 Us Route 60 E, Barboursville, WV 25504 Phone: 304-736-4111 Fax: 304-736-0334 | |
Destiny Cooper, D.C Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 99 Cracker Barrel Dr, Suite 200, Barboursville, WV 25504 Phone: 304-733-4616 Fax: 304-733-4818 | |
Mr. Luke Allen Short, DC Chiropractor Medicare: Medicare Enrolled Practice Location: 99 Cracker Barrel Dr Ste 200, Barboursville, WV 25504 Phone: 304-733-4616 Fax: 304-733-4818 | |
Dr. Jon-tyler Roach, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 6468 Farmdale Rd, Barboursville, WV 25504 Phone: 304-733-4038 Fax: 304-733-4036 | |
Ryan J Carlton, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 6007 Us Route 60 E Ste 120, Barboursville, WV 25504 Phone: 304-736-1653 | |
Dr. Jeffrey C Overstreet, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 6467 Farmdale Rd, Barboursville, WV 25504 Phone: 304-736-2050 Fax: 304-736-3570 |