Labenne, Jason Edward

Labenne, Jason Edward is an individual health care provider with primary practice located at 101 T Steele St , Bridgeport WV 26330-1068. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Labenne, Jason Edward can be contacted via phone (304) 842-7678.

Contact Information

Primary practice address
101 T Steele St Bridgeport WV 26330-1068
Phone: (304) 842-7678
Fax: (304) 842-5973
Website:
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Health care specialties

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

Profile Details

NPI number 1417941659
LBN Legal business name Labenne, Jason Edward
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 2nd, 2005
Last updated Mar 10th, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417941659 NPPES
West Virginia MEDICAID 2204026000

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