Dr. Michael R. Condaras DCCC
Organization Active NPI Chiropractor · Charleston, WV
NPI 1376816629 · NPPES record last updated Feb 17, 2012
Key facts
- NPI
- 1376816629
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- License
- 161 (WV)
- Legal business name
- DR. MICHAEL R. CONDARAS DCCC
- Practice address
- 1202 Virginia St E
Charleston, WV 25301-2909 - Phone
- (304) 342-3323
- Fax
- (304) 342-3357
- NPI assigned
- Feb 17, 2012
- Organization subpart
- No
Authorized official
- Name
- Dr. Michael R Condaras, DCCC
- Title
- Chiropractor
- Phone
- (304) 342-3323
Practitioners 1
National Provider Directory
Locations
1202 Virginia St E
Charleston, WV 25301
Phone (304) 342-3323
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | 161 | WV | Yes |
Addresses
Primary practice location
1202 Virginia St E
Charleston, WV 25301-2909
Mailing address
1202 Virginia St E
Charleston, WV 25301-2909
Phone (304) 342-3323
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0131291000 | Medicaid | WV | |
| CO 0383813 | Other | WV | MEDICARE ID- TYPE UNSPECIFIED |
Other providers in Charleston, WV
- Dr Robert R Simpson Inc
- Dr Robert R Simpson Inc
- Dr Stephen L. Gaal & Associates
- Dr W Shane Holmes Inc
- Dr. Bates DDS Inc.
- Dr. Raghda Sahloul, Inc.
- Dr. William Christopher Taylor, PLLC
- Casey Nicole Drake
- Davida Drake
- Elise Ann Drake
All providers in Charleston, WV · Chiropractor in West Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 17, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.