GROSE CHIROPRACTIC ENTERPRISES PLLC (NPI# 1174123418) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174123418 |
| Entity Type | Organization |
| Organization Name | GROSE CHIROPRACTIC ENTERPRISES PLLC |
| Practice Address |
631 Edgar Ave Ronceverte WV 24970-1258 |
| Practice Telephone | 3046456524 |
| Mailing Telephone | 3046456524 |
| Enumeration Date | 2020-10-27 |
| Last Update Date | 2020-10-27 |
| Authorized Official Name | MATHEW WALTON GROSE (OWNER) |
| Authorized Official Telephone | 3046456524 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | Chiropractic Providers |
| Street Address |
631 EDGAR AVE |
| City | RONCEVERTE |
| State | WV |
| Zip Code | 24970-1258 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144309444 | Vincent Edward Wardlow | Chiropractor | 631 Edgar Ave, Ronceverte, WV 24970-1258 | 2006-11-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770197980 | Susan Linton | Technician | 3776 Holes Mill Rd, Ronceverte, WV 24970 | 2020-09-04 |
| 1417561143 | Lori Selene Pickler | Technician | 974 C.west Main St, Ronceverte, WV 24970 | 2020-09-01 |
| 1184237257 | Jotina Hamrick | Technician | 194 Sellers St. Apt.a, Ronceverte, WV 24970 | 2020-08-28 |
| 1871072066 | Blink, Inc. | Eyewear Supplier (Equipment, not the service) | 3942 David Stuart Road, Suite 1, Ronceverte, WV 24970 | 2018-08-09 |
| 1407233976 | Rocky Mountain Holdings, LLC | Ambulance | 584 Airport Road, Box 9 (hangar 4), Lewisburg, WV 24970 | 2015-05-04 |
| 1245500040 | Seneca Family Foot Care, Pllc | Podiatrist | 336 Seneca Trail, Ronceverte, WV 24970 | 2012-01-10 |
| 1922301035 | Dwan Shasta Hamons | Pharmacist | 180 Red Oaks Shopping Center, Ronceverte, WV 24970 | 2010-12-10 |
| 1427351840 | Xuan Le Berry | Pharmacist | 180 Red Oaks Shopping Ctr., Ronceverte, WV 24970 | 2010-12-07 |
| 1104129683 | James P Meadows | Pharmacist | 180 Red Oak Shopping Center, Ronceverte, WV 24970 | 2010-12-06 |
| 1891924676 | Blink, Inc. | Optometrist | 101 Davis Stuart Road, Ronceverte, WV 24970 | 2009-07-14 |
| Find all providers in zip 24970 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235527888 | Wardlow Chiropractic Enterprise, Pllc | Chiropractor | 8747 Seneca Trl S, Ronceverte, WV 24970-8387 | 2015-01-06 |
| 1881814994 | Harold Raymond Fleschner | Chiropractor | 325 Seneca Trail, Ronceverte, WV 24970 | 2007-04-30 |
| 1043383888 | Fairlea Chiropratic Clinic | Chiropractor | 325 Seneca Tr, Ronceverte, WV 24970 | 2006-11-17 |
| 1144309444 | Vincent Edward Wardlow | Chiropractor | 631 Edgar Ave, Ronceverte, WV 24970-1258 | 2006-11-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467070961 | Alix Rae Lilly | Chiropractor | 245 Thomas Ave, Davis, WV 26260 | 2020-07-10 |
| 1689232498 | Active Life Pllc | Chiropractor | 3474 Jefferson St N Ste 101, Lewisburg, WV 24901-5728 | 2019-06-05 |
| 1326578675 | Chiropractic Care Center Pllc | Chiropractor | 200 Route 98 W St Ste 105, Nutter Fort, WV 26301-4386 | 2017-06-19 |
| 1497283063 | Margarita Blanca Ramos | Chiropractor | 810 N Jefferson St Ste 101, Lewisburg, WV 24901-9543 | 2017-05-26 |
| 1518364322 | Michael Gissy | Chiropractor | 368 West Main St, Ripley, WV 25271 | 2014-11-21 |
| 1053735118 | Jonas Layne Phares | Chiropractor | Rt 20 Professional Arts Plaza Dr, Buckhannon, WV 26201 | 2014-02-10 |
| 1093143588 | Jones & Morris Chiropractic Pllc | Chiropractor | 907 6th Ave, Saint Albans, WV 25177-2920 | 2013-10-22 |
| 1174956171 | American Family Chiropractic Physicians Inc | Chiropractor | 7355 U.S. Rt 152, Wayne, WV 25570 | 2013-08-13 |
| 1275970691 | Jason Nicholas Belcher | Chiropractor | 7355 Us Rt. 152, Wayne, WV 25570 | 2013-05-24 |
| 1902242290 | Bruceton Wellness Center Pllc | Chiropractor | 207 Morgantown St. Suite 2, Bruceton Mills, WV 26525 | 2013-05-14 |
| Find all providers with the same taxonomy | ||||
| City | RONCEVERTE |
| Zip Code | 24970 |
Please comment or provide details below to improve the information on GROSE CHIROPRACTIC ENTERPRISES PLLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.