Individual
DR. JEFFREY LEE NAGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
808 E WAKEFIELD AVE, SUITE A, SIKESTON, MO 63801-5147
(573) 472-4470
(573) 472-4139
Mailing address
808 E WAKEFIELD AVE, SUITE A, SIKESTON, MO 63801-5147
(573) 472-4470
(573) 472-4139
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
5752
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
106378
BCBS
MO
01
—
189386
HEALTHLINK
MO
01
—
350025205
RR MEDICARE PALMENTO
—
01
—
44-01193
UNITED HEALT CARE
MO
Enumeration date
03/29/2007
Last updated
12/17/2015
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