Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207L00000X | Anesthesiologist | 57.029327 | OH |
NPI | 1003340688 |
---|---|
Provider Name | Dr. Christopher Felchlia |
First Address | Springfield, IL 62702-2591 |
Second Address | Cleveland, OH 44106-1716 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/04/2017 |
Last Update Date | 06/04/2021 |