Provider Demographics
NPI:1710218045
Name:BEST CHIROPRACTIC CLINIC INC
Entity Type:Organization
Organization Name:BEST CHIROPRACTIC CLINIC INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SHAREHOLDER
Authorized Official - Prefix:
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:L
Authorized Official - Last Name:PINTI
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:304-623-5551
Mailing Address - Street 1:102 HILL ST
Mailing Address - Street 2:
Mailing Address - City:BRIDGEPORT
Mailing Address - State:WV
Mailing Address - Zip Code:26330-1756
Mailing Address - Country:US
Mailing Address - Phone:304-623-5551
Mailing Address - Fax:304-623-5553
Practice Address - Street 1:102 HILL ST
Practice Address - Street 2:
Practice Address - City:BRIDGEPORT
Practice Address - State:WV
Practice Address - Zip Code:26330-1756
Practice Address - Country:US
Practice Address - Phone:304-623-5551
Practice Address - Fax:304-623-5553
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-27
Last Update Date:2010-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty