Provider Demographics
NPI:1003992165
Name:NEASE, ROBERT SCOTT (DC CHIROPRACTIC PHYS)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:SCOTT
Last Name:NEASE
Suffix:
Gender:M
Credentials:DC CHIROPRACTIC PHYS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6430 US ROUTE 60 E
Mailing Address - Street 2:
Mailing Address - City:BARBOURSVILLE
Mailing Address - State:WV
Mailing Address - Zip Code:25504-1240
Mailing Address - Country:US
Mailing Address - Phone:304-736-4111
Mailing Address - Fax:304-736-0334
Practice Address - Street 1:6430 US ROUTE 60 E
Practice Address - Street 2:
Practice Address - City:BARBOURSVILLE
Practice Address - State:WV
Practice Address - Zip Code:25504-1240
Practice Address - Country:US
Practice Address - Phone:304-736-4111
Practice Address - Fax:304-736-0334
Is Sole Proprietor?:No
Enumeration Date:2006-10-31
Last Update Date:2015-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV583111N00000X
OH1925111N00000X
KY4193111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV0131820000Medicaid
WVNE0728351Medicare PIN
WV0131820000Medicaid