Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 111N00000X | Chiropractor | 1925 | OH |
N | 111N00000X | Chiropractor | 4193 | KY |
Y | 111N00000X | Chiropractor | 583 | WV |
NPI | 1003992165 |
---|---|
Provider Name | Dr. Robert Scott Nease |
First Address | Barboursville, WV 25504-1240 |
Second Address | Barboursville, WV 25504-1240 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/10/2006 |
Last Update Date | 14/10/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0131820000 | (05) | WV |
U36761 | (02) |