Individual
DR. BRETT ALLEN SHORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
99 CRACKER BARREL DR, BARBOURSVILLE, WV 25504-1622
(304) 733-4616
(304) 733-4818
Mailing address
99 CRACKER BARREL DR, BARBOURSVILLE, WV 25504-1622
(304) 733-4616
(304) 733-4818
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
545
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000223716
ANTHEM BC/BS
WV
01
—
000035643
MOUNTAIN STATE BC/BS
WV
05
—
0131767000
—
WV
01
—
1059296
WV WORKERS COMPENSATION
WV
01
—
287658
MAMSI
WV
01
—
350047718
RAILROAD MEDICARE
WV
01
—
4342024
AETNA
WV
01
—
4401078
UNITED HEALTHCARE ID
WV
01
—
92197
UNICARE ID
WV
01
—
9555595002
CIGNA
WV
Enumeration date
06/28/2006
Last updated
12/02/2024
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