Organization
MIKE MASON CHIROPRACTIC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL W. MASON D.C (OWNER)
(304) 842-4202
Entity
Organization
Contact information
Practice address
529 E. MAIN ST, BRIDGEPORT, WV 26330
(304) 842-4202
(304) 842-6480
Mailing address
529 E. MAIN ST, BRIDGEPORT, WV 26330
(304) 842-4202
(304) 842-6480
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001713619
MTN STATE BCBS PAY-TO
WV
05
—
PENDING
—
WV
Enumeration date
05/28/2006
Last updated
01/13/2015
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