Provider Demographics
NPI:1255534657
Name:HOWARD L. FEINBERG,D.O.,P.S.C.
Entity type:Organization
Organization Name:HOWARD L. FEINBERG,D.O.,P.S.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:HOWARD
Authorized Official - Middle Name:LESLIE
Authorized Official - Last Name:FEINBERG
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:606-329-9712
Mailing Address - Street 1:1901 WINCHESTER AVE STE 103
Mailing Address - Street 2:
Mailing Address - City:ASHLAND
Mailing Address - State:KY
Mailing Address - Zip Code:41101-7758
Mailing Address - Country:US
Mailing Address - Phone:606-329-9712
Mailing Address - Fax:606-329-0924
Practice Address - Street 1:1901 WINCHESTER AVE STE 103
Practice Address - Street 2:
Practice Address - City:ASHLAND
Practice Address - State:KY
Practice Address - Zip Code:41101-7758
Practice Address - Country:US
Practice Address - Phone:606-329-9712
Practice Address - Fax:606-329-0924
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-06
Last Update Date:2008-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYPA606363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantGroup - Single Specialty