person
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. You can also correspond with John Richard Jezioro through the mailing address at 1565 FAIRMONT AVE, FAIRMONT, WV - 26554-2158 (mailing address contact number: 304-363-8890).

Location: 1565 Fairmont Ave, Fairmont, WV, 26554-2158
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
State
Zip
26554-2158
Phone Number
304-363-8890
Fax Number
304-363-8902
person
Provider Business Mailing Address Details
Address
1565 Fairmont Ave
City
State
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
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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