Doctor Name: | JEFFREY E. FELD |
NPI Number: | 1538105812 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | MD00017198 |
Business Practice Address: | 307 S. 13th Street, Suite 300 Mount Vernon, WA - 98274 |
Business Phone Number: | 3603369757 |
Business Fax Number: | 3603362088 |
Mailing Address: | 1400 E. Kincaid St., Attn: Credentialing MOUNT VERNON |
State: | WA |
Postal Code: | 982744127 |
Phone Number: | 3604282500 |
Fax Number: | 3604286485 |
NPI Enumeration Date: | 06/22/2006 |
NPI Last Update Date: | 10/30/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | MD00017198 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | WA |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |