Thaxton, Stephen R

Thaxton, Stephen R is an sole proprietor health care provider with primary practice located at 7717 Sissonville Dr , Sissonville WV 25320-9522. He recently has 3 registered licenses in different health care specialties including Chiropractic Providers / Radiology, Chiropractic Providers / Rehabilitation, Chiropractic Providers / Sports Physician. Chiropractic Providers / Rehabilitation is his primary health care specialty. Thaxton, Stephen R can be contacted via phone (304) 988-1922.

Contact Information

Primary practice address
7717 Sissonville Dr Sissonville WV 25320-9522
Phone: (304) 988-1922
Fax: (304) 988-0130
Website:
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Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Radiology 111NR0200X 554 West Virginia
Chiropractic Providers / Rehabilitation 111NR0400X 554 West Virginia
Chiropractic Providers / Sports Physician 111NS0005X 554 West Virginia

Profile Details

NPI number 1043429178
LBN Legal business name Thaxton, Stephen R
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 22nd, 2007
Last updated Mar 25th, 2021 - about 3 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 1043429178 NPPES
West Virginia Other 0010707548 MOUNTAIN STATE
West Virginia MEDICAID 013224900 MOUNTAIN STATE

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