Individual
DR. STEPHEN DWIGHT HERTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
425 E MAIN ST STE 418, KINGWOOD, WV 26537-1793
(304) 329-1000
(304) 329-1001
Mailing address
425 E MAIN ST STE 418, KINGWOOD, WV 26537-1793
(304) 329-1000
(304) 329-1001
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
WV560
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810001430
—
WV
01
—
DE6144
MCR - RAILROAD
WV
Enumeration date
12/06/2006
Last updated
07/08/2007
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