Provider Demographics
NPI:1043355753
Name:MAJORIS, NATHANIEL CHRISTOPHER (DC, ATC)
Entity type:Individual
Prefix:
First Name:NATHANIEL
Middle Name:CHRISTOPHER
Last Name:MAJORIS
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Gender:M
Credentials:DC, ATC
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Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:90 JACKSON PIKE
Mailing Address - Street 2:HOLZER CLINIC INC
Mailing Address - City:GALLIPOLIS
Mailing Address - State:OH
Mailing Address - Zip Code:45631
Mailing Address - Country:US
Mailing Address - Phone:304-744-2300
Mailing Address - Fax:304-744-8195
Practice Address - Street 1:313 MACCORKLE AVE SW
Practice Address - Street 2:HOLZER CLINIC INC.
Practice Address - City:CHARLESTON
Practice Address - State:WV
Practice Address - Zip Code:25303-1263
Practice Address - Country:US
Practice Address - Phone:304-744-2300
Practice Address - Fax:304-744-8195
Is Sole Proprietor?:No
Enumeration Date:2007-02-20
Last Update Date:2011-10-24
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
WV901111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH000000265515OtherOH MEDICAID UNISON
OH2935319Medicaid
OH2935319OtherOH MEDICARE MOLINA
WV3810015048Medicaid
OH310917085203OtherOH MEDICAID CARESOURCE
OH2935319OtherOH MEDICARE MOLINA