Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2084N0400X | Neurologist | 15693 | KY |
Y | 2084N0400X | Neurologist | 35-047368 | OH |
NPI | 1033227780 |
---|---|
Provider Name | John Feibel |
First Address | Cincinnati, OH 45212-2198 |
Second Address | Cincinnati, OH 45212-2198 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/08/2006 |
Last Update Date | 01/08/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000000019798 | ANTHEM PROVIDER NUMBER (01) | |
0490768 | (05) | OH |
05-20121 | UNITED HEALTHCARE PROVIDE (01) | |
100357150A | (05) | IN |
1837192-001 | CIGNA PROVIDER NUMBER (01) | |
2074981 | AETNA PROVIDER NUMBER (01) | |
311412447027 | CARESOURCE PROVIDER NUMBE (01) | |
64781271 | (05) | KY |
A15114 | (02) | |
OC02103 | NATIONWIDE PROVIDER # (01) |