Individual
MICHAEL SHORT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1123 S DAVIS AVE, ELKINS, WV 26241-3529
(681) 378-3908
Mailing address
147 ELM ST APT 2, ELKINS, WV 26241-3957
(681) 837-7124
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
06/18/2025
Last updated
06/18/2025
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