Bridgeport Family Chiropractic

LBN: Bridgeport Family Chiropractic
Bridgeport Family Chiropractic is an health care organization with primary practice located at 150 East Philadelphia Ave , Bridgeport WV 26330-1520. The organization recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as the primary health care specialty. Bridgeport Family Chiropractic can be contacted via phone (304) 842-7678, or through Labenne, Jason Edward via phone (304) 842-7678.

Contact Information

Primary practice address
150 East Philadelphia Ave Bridgeport WV 26330-1520
Phone: (304) 842-7678
Fax: (304) 842-5973
Website:
Map and Directions
Authorized official contact:
Name: Labenne, Jason Edward Doctor of Chiropractic (DC)
Phone: (304) 842-7678

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 764 West Virginia

Profile Details

NPI number 1548350747
LBN Legal business name Bridgeport Family Chiropractic
DBA Doing business as
Authorized official Labenne, Jason Edward Doctor of Chiropractic (DC)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 16th, 2006
Last updated Nov 12th, 2014 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548350747 NPPES
West Virginia MEDICAID 2204026000

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