Provider Demographics
NPI:1275408635
Name:WHITE, DAMIEN HUNTER (DC)
Entity type:Individual
Prefix:DR
First Name:DAMIEN
Middle Name:HUNTER
Last Name:WHITE
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:192 WHISPERING PINES RD
Mailing Address - Street 2:
Mailing Address - City:WESTON
Mailing Address - State:WV
Mailing Address - Zip Code:26452-7900
Mailing Address - Country:US
Mailing Address - Phone:304-439-9601
Mailing Address - Fax:
Practice Address - Street 1:139 CONFERENCE CENTER WAY STE 101A
Practice Address - Street 2:
Practice Address - City:BRIDGEPORT
Practice Address - State:WV
Practice Address - Zip Code:26330-9177
Practice Address - Country:US
Practice Address - Phone:304-808-6985
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-10-07
Last Update Date:2025-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV1110111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor