Individual
NUNZIO PETER PAGANO SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
901 N STATE ROUTE 2, STE 1, NEW MARTINSVILLE, WV 26155-2560
(304) 455-6444
(304) 455-6011
Mailing address
1335 N STATE ROUTE 2, NEW MARTINSVILLE, WV 26155-2524
(304) 455-6444
(304) 455-6011
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
237
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000190839
BCBS
WV
05
—
0131287000
—
WV
01
—
1025175
BRICKSTREET WORKER'S COMP
WV
01
—
409013775
RAILROAD MEDICARE
—
01
—
52450
UNICARE
WV
Enumeration date
09/25/2006
Last updated
08/07/2019
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