Individual
DR. RAYMOND LONNIE HEARN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1756 MILEGROUND PLAZA, SUITE I, MORGANTOWN, WV 26505-3785
(304) 292-2900
(304) 292-2900
Mailing address
1756 MILEGROUND PLAZA, SUITE I, MORGANTOWN, WV 26505-3785
(304) 292-2900
(304) 292-2900
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
365
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
365
STATE LICENSE
WV
Enumeration date
11/24/2006
Last updated
07/08/2007
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