Provider Demographics
NPI:1518010115
Name:CONFER, JODY DANETTE (DC)
Entity Type:Individual
Prefix:DR
First Name:JODY
Middle Name:DANETTE
Last Name:CONFER
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9 MINNOW LANE
Mailing Address - Street 2:
Mailing Address - City:STILLWATER
Mailing Address - State:PA
Mailing Address - Zip Code:17878-9433
Mailing Address - Country:US
Mailing Address - Phone:570-925-2329
Mailing Address - Fax:570-925-2329
Practice Address - Street 1:9 MINNOW LANE
Practice Address - Street 2:
Practice Address - City:STILLWATER
Practice Address - State:PA
Practice Address - Zip Code:17878-9433
Practice Address - Country:US
Practice Address - Phone:570-925-2329
Practice Address - Fax:570-925-2329
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC003002L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor