Individual provider · Type 1 NPI
Michael R. Condaras, DC
Chiropractor · Charleston, WV
NPI number
1669437174
Active
Practice location
1202 Virginia St E
Charleston, WV 25301-2909
Mailing address
1202 Virginia St. E.
Charleston, WV 25301-2909
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 161 (WV) |
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.
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About NPI 1669437174
Michael R. Condaras, DC's National Provider Identifier is 1669437174, issued on Apr 18, 2006. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Charleston, WV. The record was last updated on Feb 17, 2012.