Individual
CHAD MICHAEL PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
529 E MAIN ST, BRIDGEPORT, WV 26330-1824
(304) 842-4202
Mailing address
30 WESTWOOD CIR, WASHINGTON, WV 26181-3558
(304) 482-8934
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1013
WV
Other
Enumeration date
06/07/2017
Last updated
06/07/2017
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