Matthew Owen Isner, DC
Individual provider Active NPI Chiropractor · Mineral Wells, WV
NPI 1477585537 · NPPES record last updated Aug 1, 2007
Key facts
- NPI
- 1477585537
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 868 (WV)
- Practice address
- 1510 Elizabeth Pike
Mineral Wells, WV 26150-8413 - Phone
- (386) 852-0110
- NPI assigned
- Jul 7, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CHIRO08035 | GA | MD | Chiropractor |
| 868 | WV | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Isner Chiropractic Clinic, Inc. | Chiropractor | Past | Accepting new patients |
| Franklin E Howerton | Chiropractor | Past | Accepting new patients |
| Wirt County Health Services Association Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CHIRO08035 | GA | |
| Chiropractor | 111N00000X | 868 | WV | Yes |
Addresses
Primary practice location
1510 Elizabeth Pike
Mineral Wells, WV 26150-8413
Mailing address
1103 Nature View Cir
Port Orange, FL 32128-7454
Phone (386) 788-2596
Other providers in Mineral Wells, WV
- Kyra Michelle Highley
- Tara Holland
- Amanda Hornbeck
- Christina Violet Huffman
- Angela Hutson
- Brandi Keaton
- William Michael Lawless
- Sarah Leasure
- Kimberly Leffel
- Taylor Marie Life
All providers in Mineral Wells, 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 Aug 1, 2007. 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.