# MRS. JAYNE LADIER CANTERBURY

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1760433254
- **Gender:** F
- **Credential:** D.O.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 1562 | WV | Yes |

## Other

- **Enumeration date:** 05/12/2006
- **Last updated:** 01/29/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 00190786 | BCBS MOUNTAIN STATE | WV |
| 01 | — | 00348473 | RAILROAD MEDICARE | WV |
| 01 | — | 172431 | UMWA | WV |
| 05 | — | 1802020000 | — | WV |
| 01 | — | 5004699 | AETNA | WV |