Provider Demographics
NPI:1336680453
Name:FERGOSEY, INC.
Entity type:Organization
Organization Name:FERGOSEY, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:JANE
Authorized Official - Last Name:JULIUS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:567-970-7273
Mailing Address - Street 1:4016 NAVARRE AVE
Mailing Address - Street 2:
Mailing Address - City:OREGON
Mailing Address - State:OH
Mailing Address - Zip Code:43616-3440
Mailing Address - Country:US
Mailing Address - Phone:567-970-7273
Mailing Address - Fax:567-970-7275
Practice Address - Street 1:4016 NAVARRE AVE
Practice Address - Street 2:
Practice Address - City:OREGON
Practice Address - State:OH
Practice Address - Zip Code:43616-3440
Practice Address - Country:US
Practice Address - Phone:567-970-7273
Practice Address - Fax:567-970-7275
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-09
Last Update Date:2024-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty