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Contact Information

MIKE MASON CHIROPRACTIC PLLC
529 E. MAIN ST
BRIDGEPORT, WV26330
 Phone: 304-842-4202
 Fax: 304-842-6480
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Chiropractor

111N00000X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for MIKE MASON CHIROPRACTIC PLLC

NPI Number 1255388971
LBN Legal business name MIKE MASON CHIROPRACTIC PLLC
Authorized official MICHAEL MASON - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 05/28/2006
Last updated 01/13/2015 - About 11 years ago
Identifiers
WV Medicaid PENDING
WV Other 001713619 MTN STATE BCBS PAY-TO
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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