| Undefeated Healthcare | |
|
112 Watercourse Dr Ranson WV 25438-4015 | |
| (304) 270-8179 | |
| Not Available |
| Full Name | Undefeated Healthcare |
|---|---|
| Speciality | Counselor - Professional |
| Location | 112 Watercourse Dr, Ranson, West Virginia |
| Authorized Official Name and Position | Chase C Butala (OWNER) |
| Authorized Official Contact | 3042708179 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Undefeated Healthcare 112 Watercourse Dr Ranson WV 25438-4015 Ph: (304) 270-8179 | Undefeated Healthcare 112 Watercourse Dr Ranson WV 25438-4015 Ph: (304) 270-8179 |
| NPI Number | 1134727340 |
|---|---|
| Provider Enumeration Date | 10/12/2020 |
| Last Update Date | 10/12/2020 |
| Certification Date | 10/12/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134727340 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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