Organization
DR. J CHIROPRACTIC AND WELLNESS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAY LEE MCCLANAHAN D.C. (CHIROPRACTOR)
(304) 776-1520
Entity
Organization
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
WV
Enumeration date
03/16/2007
Last updated
04/20/2008
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