Organization
ADVANTAGE HEALTH & WELLNESS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN D TREMBUSH DC (OWNER/OPERATOR)
(304) 225-9355
Entity
Organization
Contact information
Practice address
699 BURROUGHS ST, MORGANTOWN, WV 26505-3361
(304) 225-9355
(304) 225-9358
Mailing address
699 BURROUGHS ST, MORGANTOWN, WV 26505-3361
(304) 225-9355
(304) 225-9358
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
769
WV
225100000X
Physical Therapist
2330
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11451727
CAQH
WV
01
—
271821
CARELINK
WV
05
—
3810003266
—
WV
01
—
5642046
FIRST HEALTH
WV
01
—
6371820001
CIGNA GOVERNMENT SERVICES
—
01
—
7254278
AETNA
WV
01
—
P00337891
RAIL ROAD MEDICARE
WV
Enumeration date
12/14/2009
Last updated
11/01/2010
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