Individual
DR. JEFFREY LEE SUMMERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
4317 MACCORKLE AVE SE, CHARLESTON, WV 25304-2503
(304) 925-0377
(304) 925-0461
Mailing address
PO BOX 4003, CHARLESTON, WV 25364-4003
(304) 925-0377
(304) 925-0461
Taxonomy
Speciality
Code
Description
License number
State
111NX0800X
Orthopedic Chiropractor
Primary
441
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0131439000
—
WV
Enumeration date
08/20/2006
Last updated
07/08/2007
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