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John Richard Jezioro, DC
Chiropractor in Fairmont, West Virginia
NPI 1871669614

John Richard Jezioro is a Chiropractor based in Fairmont, WV. John Richard Jezioro practices in Fairmont, WV and has the professional credentials of DC. The NPI Number for John Richard Jezioro is 1871669614 and holds a License No. 660 (West Virginia).

The current practice location address for John Richard Jezioro is 1565 Fairmont Ave, Fairmont, WV and can be reached out via phone at 304-363-8890 and via fax at 304-363-8902.

Location: 1565 Fairmont Ave, Fairmont, WV, 26554-2158
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1871669614
Provider Name
John Richard Jezioro
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
1565 Fairmont Ave, Fairmont, WV, 26554-2158
Phone Number
304-363-8890
Fax Number
304-363-8902
Provider Enumeration Date
11/24/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000342746 01 WV BCBS
7600047000 05 WV
institution
Provider Business Practice Location Address Details
Address
1565 Fairmont Ave
City
Fairmont
State
West Virginia
Zip
26554-2158
Phone Number
304-363-8890
Fax Number
304-363-8902
person
Provider Business Mailing Address Details
Address
1565 Fairmont Ave
City
Fairmont
State
West Virginia
Zip
26554-2158
Phone Number
304-363-8890
Fax Number
304-363-8902
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
660 (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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