Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NS0005X | Chiropractic Sports Physician | 15917 | CA |
NPI | 1215062849 |
---|---|
Provider Name | Edward B Feinberg |
First Address | Santa Clara, CA 95050-5520 |
Second Address | Santa Clara, CA 95050-5975 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 22/02/2007 |
Last Update Date | 08/07/2007 |