Provider Demographics
NPI:1265441901
Name:FEEMAN, JOEL D (DC)
Entity Type:Individual
Prefix:DR
First Name:JOEL
Middle Name:D
Last Name:FEEMAN
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 1:725 BROADWAY ST
Mailing Address - Street 2:SUITE B
Mailing Address - City:NEW HAVEN
Mailing Address - State:IN
Mailing Address - Zip Code:46774-1672
Mailing Address - Country:US
Mailing Address - Phone:260-749-1364
Mailing Address - Fax:260-749-8694
Practice Address - Street 1:725 BROADWAY ST
Practice Address - Street 2:SUITE B
Practice Address - City:NEW HAVEN
Practice Address - State:IN
Practice Address - Zip Code:46774-1672
Practice Address - Country:US
Practice Address - Phone:260-749-1364
Practice Address - Fax:260-749-8694
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN08001976A111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor