Healthcare Provider Details

I. General information

NPI: 1861590945
Provider Name (Legal Business Name): JERRY LYNN FELGER D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/20/2006
Last Update Date: 02/05/2025
Certification Date: 02/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1001 W MAIN ST
RADFORD VA
24141-1664
US

IV. Provider business mailing address

1001 W MAIN ST
RADFORD VA
24141-1664
US

V. Phone/Fax

Practice location:
  • Phone: 540-838-2421
  • Fax:
Mailing address:
  • Phone: 540-944-8091
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NN1001X
TaxonomyNutrition Chiropractor
License NumberCH0001600
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: