Provider Demographics
NPI:1568836625
Name:FEY, JORDAN A (DC)
Entity Type:Individual
Prefix:DR
First Name:JORDAN
Middle Name:A
Last Name:FEY
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 1:3928 S WESTERN AVE
Mailing Address - Street 2:
Mailing Address - City:SIOUX FALLS
Mailing Address - State:SD
Mailing Address - Zip Code:57105-6513
Mailing Address - Country:US
Mailing Address - Phone:605-271-2261
Mailing Address - Fax:605-271-4698
Practice Address - Street 1:3928 S WESTERN AVE
Practice Address - Street 2:
Practice Address - City:SIOUX FALLS
Practice Address - State:SD
Practice Address - Zip Code:57105-6513
Practice Address - Country:US
Practice Address - Phone:605-271-2261
Practice Address - Fax:605-271-4698
Is Sole Proprietor?:No
Enumeration Date:2015-11-30
Last Update Date:2024-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD1278111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor