Provider Demographics
NPI:1548519309
Name:HEALTHY SPINE CHIROPRACTIC, PLLC
Entity type:Organization
Organization Name:HEALTHY SPINE CHIROPRACTIC, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR OF CHIROPRACTIC & OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:BARIT
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:304-294-0777
Mailing Address - Street 1:204 HOWARD AVE
Mailing Address - Street 2:SUITE A
Mailing Address - City:MULLENS
Mailing Address - State:WV
Mailing Address - Zip Code:25882-1421
Mailing Address - Country:US
Mailing Address - Phone:304-294-0777
Mailing Address - Fax:304-294-0778
Practice Address - Street 1:204 HOWARD AVE
Practice Address - Street 2:SUITE A
Practice Address - City:MULLENS
Practice Address - State:WV
Practice Address - Zip Code:25882-1421
Practice Address - Country:US
Practice Address - Phone:304-294-0777
Practice Address - Fax:304-294-0778
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-07
Last Update Date:2012-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV918111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty