Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208100000X | Physical Medicine & Rehabilitation Doctor | 52746 | CO |
N | 2081P2900X | Pain Medicine | 24685 | NE |
NPI | 1407902018 |
---|---|
Provider Name | Alicia B Feldman |
First Address | Loveland, CO 80538-7027 |
Second Address | Loveland, CO 80538 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/01/2007 |
Last Update Date | 24/09/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01666 | BCBS (01) | NE |
1407902018 | (05) | IA |
47081304012 | (05) | NE |
P00656355 | RAILROAD MEDICARE (01) | NE |