Provider Demographics
NPI:1346311594
Name:GEARY, MARIAN TERESA (DC)
Entity Type:Individual
Prefix:DR
First Name:MARIAN
Middle Name:TERESA
Last Name:GEARY
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1014 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:FOLLANSBEE
Mailing Address - State:WV
Mailing Address - Zip Code:26037-1345
Mailing Address - Country:US
Mailing Address - Phone:304-527-0002
Mailing Address - Fax:304-527-0003
Practice Address - Street 1:1014 MAIN ST
Practice Address - Street 2:
Practice Address - City:FOLLANSBEE
Practice Address - State:WV
Practice Address - Zip Code:26037-1345
Practice Address - Country:US
Practice Address - Phone:304-527-0002
Practice Address - Fax:304-527-0003
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-10
Last Update Date:2011-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV610111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
WVU47423Medicare UPIN
WV0755371Medicare ID - Type Unspecified