Provider Demographics
NPI:1821181132
Name:EVERY BODYS CHIROPRACTIC PLLC
Entity Type:Organization
Organization Name:EVERY BODYS CHIROPRACTIC PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:DWIGHT
Authorized Official - Last Name:HERTO
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:304-329-1000
Mailing Address - Street 1:425 E MAIN STREET
Mailing Address - Street 2:SUITE 418
Mailing Address - City:KINGWOOD
Mailing Address - State:WV
Mailing Address - Zip Code:26537
Mailing Address - Country:US
Mailing Address - Phone:304-329-1000
Mailing Address - Fax:304-329-1001
Practice Address - Street 1:425 E MAIN STREET
Practice Address - Street 2:SUITE 418
Practice Address - City:KINGWOOD
Practice Address - State:WV
Practice Address - Zip Code:26537
Practice Address - Country:US
Practice Address - Phone:304-329-1000
Practice Address - Fax:304-329-1001
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WVWV560111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WVDE6144OtherMCR RAILROAD
WV3810001430Medicaid
WVDE6144OtherMCR RAILROAD
WV3810001430Medicaid