Individual
JACOB LANE METHENY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
17978 SR 55, BAKER, WV 26801
(304) 897-5915
Mailing address
17978 SR 55, BAKER, WV 26801
(304) 897-5915
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
879
WV
Other
Enumeration date
02/02/2009
Last updated
04/07/2021
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