Individual
DR. JASON EDWARD LABENNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
101 T STEELE ST, BRIDGEPORT, WV 26330-1068
(304) 842-7678
(304) 842-5973
Mailing address
101 T STEELE STREET, BRIDGEPORT, WV 26330-1068
(304) 842-7678
(304) 842-5973
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
764
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2204026000
—
WV
Enumeration date
09/02/2005
Last updated
03/10/2008
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