Organization
FISHER CHIROPRACTIC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JODY WAYNE FISHER DC (OWNER)
(304) 722-3011
Entity
Organization
Contact information
Practice address
142 MACCORKLE AVE, ST ALBANS, WV 25177
(304) 722-3011
(304) 722-3045
Mailing address
142 MACCORKLE AVE, ST ALBANS, WV 25177
(304) 722-3011
(304) 722-3045
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
784
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0007817650
AETNA
—
01
—
1067378
WV WORKERS COMP
—
Enumeration date
04/06/2007
Last updated
08/22/2020
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