Organization
EDDY CHIROPRACTIC CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVEN LEE EDDY DC (DOCTOR / OWNER)
(304) 375-6000
Entity
Organization
Contact information
Practice address
443 HIGHLAND AVE, WILLIAMSTOWN, WV 26187-1247
(304) 375-6000
(304) 375-6043
Mailing address
443 HIGHLAND AVE, WILLIAMSTOWN, WV 26187-1247
(304) 375-6000
(304) 375-6043
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
575
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001711240
BCBS
WV
01
—
2299178
MEDICAID
OH
Enumeration date
07/05/2006
Last updated
12/01/2010
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