Nagle, Jeffrey Lee

Nagle, Jeffrey Lee is an individual health care provider with primary practice located at 808 E Wakefield Ave Suite A, Sikeston MO 63801-5147. He recently has only one registered license in Chiropractic Providers / Sports Physician, which is considered as his primary health care specialty. Nagle, Jeffrey Lee can be contacted via phone (573) 472-4470.

Contact Information

Primary practice address
808 E Wakefield Ave Suite A Sikeston MO 63801-5147
Fax: (573) 472-4139
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Sports Physician 111NS0005X 5752 Missouri

Profile Details

NPI number 1861512576
LBN Legal business name Nagle, Jeffrey Lee
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 29th, 2007
Last updated Dec 17th, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1861512576 NPPES
Other 350025205 RR MEDICARE PALMENTO
Other 44-01193 RR MEDICARE PALMENTO
Other 189386 RR MEDICARE PALMENTO
Other 106378 RR MEDICARE PALMENTO

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