Individual
MICHAEL ANTHONY IELAPI II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
101 T STEELE STREET, BRIDGEPORT, WV 26330
(304) 842-7678
(304) 842-5973
Mailing address
101 T STEELE ST, BRIDGEPORT, WV 26330-1068
(304) 842-7678
(304) 842-5973
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
WV732
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
WV732
HEALTH PLAN
WV
Enumeration date
11/10/2006
Last updated
08/15/2010
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