Individual
MELISSA WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D C
Contact information
Practice address
310 MARKET ST, MAN, WV 25635-1321
(304) 583-6400
(304) 583-6800
Mailing address
122 N BRIDGE ST, MAN, WV 25635-1229
(304) 583-6335
(304) 583-6800
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
798
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1063685
WV COMP
WV
05
—
2003071000
—
WV
05
—
2203071000
—
WV
01
—
7851553
AETNA
WV
Enumeration date
02/24/2007
Last updated
07/09/2007
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