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Contact Information

ENLIVEN CHIROPRACTIC PLLC
130 PROFESSIONAL PL
BRIDGEPORT, WV26330
 Phone: 304-933-9355
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Chiropractor

111N00000X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for ENLIVEN CHIROPRACTIC PLLC

NPI Number 1588911770
LBN Legal business name ENLIVEN CHIROPRACTIC PLLC
Authorized official JAMES LEONETTE - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 08/07/2012
Last updated 04/15/2019 - About 7 years ago
Identifiers
WV License # 928
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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