Organization
SHORT CHIROPRACTIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRETT A SHORT D.C. (DC/OWNER)
(304) 733-4616
Entity
Organization
Contact information
Practice address
99 CRACKER BARREL DRIVE, SUITE 200, BARBOURSVILLE, WV 25504-1622
(304) 733-4616
(304) 733-4818
Mailing address
SUITE 200 99 CRACKER BARREL DRIVE, BARBOURSVILLE, WV 25504-1622
(304) 733-4616
(304) 733-4818
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
545
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000223716
SHORT ANTHEM #
WV
05
—
0131767000
—
WV
01
—
1059296
DR SHORT WC ID
WV
01
—
1065
LUKE SHORT,D.C.
WV
01
—
1164162988
LUKE SHORT, NPI
—
01
—
1538197702
DR SHORT NPI INDIVIDUAL #
WV
01
—
350047718
DR SHORT RAILROAD #
WV
05
—
3810005988
—
WV
01
—
4342024
AETNA # FOR DR SHORT
WV
01
—
545
DR SHORT LICENSE #
WV
01
—
BC/BS
BCBS #
WV
Enumeration date
10/27/2006
Last updated
12/02/2024
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