Provider Demographics
NPI:1619217510
Name:MERRITT CHIROPRACTIC INC.
Entity Type:Organization
Organization Name:MERRITT CHIROPRACTIC INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:LEVI
Authorized Official - Middle Name:GARIN
Authorized Official - Last Name:MERRITT
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:304-654-0285
Mailing Address - Street 1:100 ERSKINE LN
Mailing Address - Street 2:SUITE B
Mailing Address - City:SCOTT DEPOT
Mailing Address - State:WV
Mailing Address - Zip Code:25560-9751
Mailing Address - Country:US
Mailing Address - Phone:304-757-7246
Mailing Address - Fax:304-757-7245
Practice Address - Street 1:100 ERSKINE LN
Practice Address - Street 2:SUITE B
Practice Address - City:SCOTT DEPOT
Practice Address - State:WV
Practice Address - Zip Code:25560-9751
Practice Address - Country:US
Practice Address - Phone:304-757-7246
Practice Address - Fax:304-757-7245
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-01
Last Update Date:2014-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty