Provider Demographics
NPI:1750389615
Name:RICHEY, FERREL G (DC)
Entity type:Individual
Prefix:DR
First Name:FERREL
Middle Name:G
Last Name:RICHEY
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 1:6011 N FRESNO ST
Mailing Address - Street 2:#105
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93710-5274
Mailing Address - Country:US
Mailing Address - Phone:559-435-3605
Mailing Address - Fax:559-435-3145
Practice Address - Street 1:6011 N FRESNO ST
Practice Address - Street 2:#105
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93710-5274
Practice Address - Country:US
Practice Address - Phone:559-435-3605
Practice Address - Fax:559-435-3145
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-07-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA18931111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor