Mountain State Chiropractic

NPI #1366501447 in Man, West Virginia

Provider Information

NPI Number: 1366501447
Entity Type: Organization
Organization Name: Mountain State Chiropractic
Primary Specialty: Chiropractor
Enumeration Date: Dec 6, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 310 MARKET ST
City: Man
State: West Virginia
ZIP Code: 25635-1321
Phone: (304) 583-6400

Authorized Official

Name: DR. JOHNATHAN MATTHEW ELLIS, D.C
Title: DOCTOR
Phone: (304) 583-6400

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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