NPI 1114278520

Mathew Grose, D.C. Chiropractic Incorporation

Organisation Chiropractor Charleston, WV

Practice location

Address: 4502 Maccorkle Ave SE Suite B, Charleston, WV 25304-1835
Phone: (304) 925-1002
Fax: (681) 205-8382

Authorised official

Name: Mathew W Grose
Title: Owner
Phone: (304) 925-1002

Registered specialties

Chiropractor Primary

Chiropractic Providers Taxonomy 111N00000X

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Registry record

NPI: 1114278520
Entity type: Organization
NPI issued: 25 Sep 2012
Record last updated: 25 Sep 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.