Organization
ENLIVEN CHIROPRACTIC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES W LEONETTE D.C. (OWNER)
(304) 933-9355
Entity
Organization
Contact information
Practice address
130 PROFESSIONAL PL, BRIDGEPORT, WV 26330
(304) 933-9355
Mailing address
130 PROFESSIONAL PL, BRIDGEPORT, WV 26330-4599
(304) 933-9355
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
928
WV
Other
Enumeration date
08/07/2012
Last updated
04/15/2019
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