Individual
JOHN WHITE III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
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
797
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1063653
WV COMP
WV
05
—
2203080000
—
WV
01
—
7330503
AETNA
WV
Enumeration date
02/26/2007
Last updated
07/09/2007
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