Organization
JEFFERSON CHIROPRACTIC CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN S. ERICKSON (PRESIDENT)
(304) 876-8200
Entity
Organization
Contact information
Practice address
7486 MARTINSBURG PIKE, SHEPHERDSTOWN, WV 25443
(304) 876-8200
(304) 876-6826
Mailing address
7486 MARTINSBURG PIKE, SHEPHERDSTOWN, WV 25443
(304) 876-8200
(304) 876-6826
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
644
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0132165000
—
WV
Enumeration date
06/22/2006
Last updated
10/21/2011
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