Organization
COLISEUM CHIROPRACTIC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHAD PORTER DC (OWNER)
(304) 482-8934
Entity
Organization
Contact information
Practice address
138 JIM ST, MORGANTOWN, WV 26501-5302
(304) 482-8934
Mailing address
138 JIM ST, MORGANTOWN, WV 26501-5302
(304) 244-5575
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
06/02/2021
Last updated
06/03/2021
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