National Provider Identifier Database

ENLIVEN CHIROPRACTIC PLLC
Chiropractor

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.


Contact Information

ENLIVEN CHIROPRACTIC PLLC
130 PROFESSIONAL PL
BRIDGEPORT, WV26330
Phone: 304-933-9355
Fax:
Website:
Specialty Taxonomy Code
* Chiropractor 111N00000X

* Indicates primary specialty

NPI Profile & details for ENLIVEN CHIROPRACTIC PLLC

NPI Number 1588911770
Legal business name
LBN
ENLIVEN CHIROPRACTIC PLLC
Authorized official JAMES LEONETTE - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 08/07/2012
Last updated 04/15/2019 - About 7 years ago
Sole proprietor1 Not specified
Identifiers
  • WV License #: 928

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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