Provider Demographics
NPI:1366534216
Name:FEIT, ERIC M (DPM, INC)
Entity type:Individual
Prefix:
First Name:ERIC
Middle Name:M
Last Name:FEIT
Suffix:
Gender:M
Credentials:DPM, INC
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1360 W 6TH ST
Mailing Address - Street 2:240
Mailing Address - City:SAN PEDRO
Mailing Address - State:CA
Mailing Address - Zip Code:90732-3514
Mailing Address - Country:US
Mailing Address - Phone:310-548-3311
Mailing Address - Fax:310-548-3384
Practice Address - Street 1:1360 W 6TH ST
Practice Address - Street 2:240
Practice Address - City:SAN PEDRO
Practice Address - State:CA
Practice Address - Zip Code:90732-3514
Practice Address - Country:US
Practice Address - Phone:310-548-3311
Practice Address - Fax:310-548-3384
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-29
Last Update Date:2015-03-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAE3982213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA5858920002Medicare NSC
U56777Medicare UPIN
E3982FMedicare ID - Type Unspecified
CA5858920001Medicare NSC