Provider Demographics
NPI:1619044302
Name:FEY, BILL POYNTZ JR (DC)
Entity Type:Individual
Prefix:DR
First Name:BILL
Middle Name:POYNTZ
Last Name:FEY
Suffix:JR
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 1:220 N. CITIES SERVICE HWY
Mailing Address - Street 2:
Mailing Address - City:SULPHUR
Mailing Address - State:LA
Mailing Address - Zip Code:70663-5422
Mailing Address - Country:US
Mailing Address - Phone:337-625-8303
Mailing Address - Fax:337-625-8302
Practice Address - Street 1:220 N. CITIES SERVICE HWY
Practice Address - Street 2:
Practice Address - City:SULPHUR
Practice Address - State:LA
Practice Address - Zip Code:70663-5422
Practice Address - Country:US
Practice Address - Phone:337-625-8303
Practice Address - Fax:337-625-8302
Is Sole Proprietor?:No
Enumeration Date:2006-11-29
Last Update Date:2008-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA298111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA59135BC45Medicare PIN