Provider Demographics
NPI:1841399813
Name:FEY CHIROPRACTIC CLINIC INC
Entity Type:Organization
Organization Name:FEY CHIROPRACTIC CLINIC INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR OF CHIROPRACTIC
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:P
Authorized Official - Last Name:FEY
Authorized Official - Suffix:JR
Authorized Official - Credentials:DC
Authorized Official - Phone:337-625-8303
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
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-22
Last Update Date:2008-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA298111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1955493Medicaid
LA5BC45Medicare PIN
T19940Medicare UPIN