Bridgeport Family Chiropractic

NPI #1548350747 in Bridgeport, West Virginia

Provider Information

NPI Number: 1548350747
Entity Type: Organization
Organization Name: Bridgeport Family Chiropractic
Primary Specialty: Chiropractor
Enumeration Date: Oct 16, 2006
Last Updated: Nov 12, 2014

Practice Location

Address: 150 EAST PHILADELPHIA AVE
City: Bridgeport
State: West Virginia
ZIP Code: 26330-1520
Phone: (304) 842-7678

Authorized Official

Name: DR. JASON EDWARD LABENNE, DC
Title: OWNER
Phone: (304) 842-7678

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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