person
Dr. John S Lively, DC
Chiropractor in Parkersburg, West Virginia
NPI 1699721795

John S Lively is a Chiropractor based in Parkersburg, WV. John S Lively practices in Parkersburg, WV and has the professional credentials of DC. The NPI Number for John S Lively is 1699721795 and holds a License No. 632 (West Virginia).

The current practice location address for John S Lively is 2710 Broadway Ext, Parkersburg, WV and can be reached out via phone at 304-485-0106 and via fax at 304-485-5671.

Location: 2710 Broadway Ext, Parkersburg, WV, 26101-6856
person
Provider Profile Details
NPI Number
1699721795
Provider Name
John S Lively
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
2710 Broadway Ext, Parkersburg, WV, 26101-6856
Phone Number
304-485-0106
Fax Number
304-485-5671
Provider Enumeration Date
05/26/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1035106 01 WV WORKERS COMP
5630092 01 AETNA
0132099000 05 WV
institution
Provider Business Practice Location Address Details
Address
2710 Broadway Ext
City
State
Zip
26101-6856
Phone Number
304-485-0106
Fax Number
304-485-5671
person
Provider Business Mailing Address Details
Address
2710 Broadway Ext
City
State
Zip
26101-6856
Phone Number
304-485-0106
Fax Number
304-485-5671
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
License No.
632 (West Virginia)
Definition
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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