Individual
CALLIE HOWISON RADER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
923 EMERSON AVE, PARKERSBURG, WV 26104-2526
(304) 428-9355
(304) 428-2565
Mailing address
923 EMERSON AVE, PARKERSBURG, WV 26104-2526
(304) 428-9355
(304) 428-2565
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
720
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001712610
BCBS
WV
01
—
0895573
MEDICARE PTAN
WV
01
—
1063297
COMP
WV
05
—
2202096000
—
WV
Enumeration date
11/24/2006
Last updated
03/20/2015
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