Southridge Advanced Chiropractic

LBN: Southridge Advanced Chiropractic
Southridge Advanced Chiropractic is an health care organization with primary practice located at 100 Peyton Way Suite 201, Charleston WV 25309-8572. The organization recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as the primary health care specialty. Southridge Advanced Chiropractic can be contacted via phone (850) 557-0104, or through Eastwood, Jody R via phone (850) 557-0104.

Contact Information

Primary practice address
100 Peyton Way Suite 201 Charleston WV 25309-8572
Phone: (850) 557-0104
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Eastwood, Jody R Doctor of Chiropractic (DC)
Phone: (850) 557-0104

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 111N00000X West Virginia

Profile Details

NPI number 1699960351
LBN Legal business name Southridge Advanced Chiropractic
DBA Doing business as
Authorized official Eastwood, Jody R Doctor of Chiropractic (DC)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 6th, 2007
Last updated Sep 6th, 2007 - about 19 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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