MEDICARE: DR. WILLIAM E FEHL DC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	962	SC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1366458861
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. WILLIAM E FEHL DC

Provider Business Mailing Address
First Line	:	365A E BLACKSTOCK RD
Second Line	:
City	:	SPARTANBURG
State	:	SC
Zip	:	29301-3762
Country	:	US
Telephone Number	:	864-574-4862
Fax Number	:

Provider Business Practice Location Address
First Line	:	365A E BLACKSTOCK RD
Second Line	:
City	:	SPARTANBURG
State	:	SC
Zip	:	29301-3762
Country	:	US
Telephone Number	:	864-574-4862
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/01/2006
Last Update Date	:	05/11/2010

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Directions to “ DR. WILLIAM E FEHL DC” Practice Location

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