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Individual

DR. JAY LEE MCCLANAHAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
642 CROSS LANES DR, NITRO, WV 25143-1163
(304) 776-1520
(304) 776-1521
Mailing address
642 CROSS LANES DR, NITRO, WV 25143-1163
(304) 776-1520
(304) 776-1521

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
828
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1060823
AMERICAN SPECIALTY HEALTH
WV
01
306672
CARELINK
WV
05
3810002674
WV
01
7509681
AETNA
WV
01
91087
UNICARE
WV
01
AS40510400001
CIGNA HEALTHCARE
WV
Enumeration date
03/01/2007
Last updated
02/27/2008
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