Individual
HARVEY JAY FEENSTRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
191 S MECCA ST, CORTLAND, OH 44410
(330) 637-1399
(330) 637-1894
Mailing address
191 S MECCA ST, CORTLAND, OH 44410
(330) 637-1399
(330) 637-1894
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
491
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0279041
—
OH
01
—
34153106000
BWC
OH
Enumeration date
01/30/2007
Last updated
07/08/2007
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