Provider Demographics
NPI:1184622094
Name:GARVEY, JEFFREY W (DC)
Entity type:Individual
Prefix:DR
First Name:JEFFREY
Middle Name:W
Last Name:GARVEY
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2013 OHIO AVE
Mailing Address - Street 2:
Mailing Address - City:PARKERSBURG
Mailing Address - State:WV
Mailing Address - Zip Code:26101-2535
Mailing Address - Country:US
Mailing Address - Phone:304-422-3334
Mailing Address - Fax:304-422-1169
Practice Address - Street 1:2013 OHIO AVE
Practice Address - Street 2:
Practice Address - City:PARKERSBURG
Practice Address - State:WV
Practice Address - Zip Code:26101-2535
Practice Address - Country:US
Practice Address - Phone:304-422-3334
Practice Address - Fax:304-422-1169
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-07-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV373111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV0131521000Medicaid
WV0131521000Medicaid
WV0542141Medicare ID - Type Unspecified