Provider Demographics
NPI:1366642647
Name:DEYS, JEFFREY DALE (DC)
Entity Type:Individual
Prefix:DR
First Name:JEFFREY
Middle Name:DALE
Last Name:DEYS
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:PO BOX 1065
Mailing Address - Street 2:
Mailing Address - City:JENKS
Mailing Address - State:OK
Mailing Address - Zip Code:74037
Mailing Address - Country:US
Mailing Address - Phone:918-298-2090
Mailing Address - Fax:918-298-2716
Practice Address - Street 1:930 W MAIN ST
Practice Address - Street 2:
Practice Address - City:JENKS
Practice Address - State:OK
Practice Address - Zip Code:74037-3523
Practice Address - Country:US
Practice Address - Phone:918-298-2090
Practice Address - Fax:918-298-2716
Is Sole Proprietor?:No
Enumeration Date:2007-07-24
Last Update Date:2024-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK3408111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor