Healthcare Provider Details

I. General information

NPI: 1376745950
Provider Name (Legal Business Name): HOWARD L. FEINBERG,D.O.,P.S.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/05/2007
Last Update Date: 05/27/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2930 CARTER AVE
ASHLAND KY
41101
US

IV. Provider business mailing address

2930 CARTER AVE
ASHLAND KY
41101-7758
US

V. Phone/Fax

Practice location:
  • Phone: 606-329-9712
  • Fax: 606-329-0924
Mailing address:
  • Phone: 606-329-9712
  • Fax: 606-329-0924

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License Number02223
License Number StateKY
# 2
Primary TaxonomyN
Taxonomy Code208VP0000X
TaxonomyPain Medicine Physician
License Number02223
License Number StateKY

VIII. Authorized Official

Name: DR. HOWARD LESLIE FEINBERG
Title or Position: PHYSICIAN
Credential: D.O.
Phone: 606-329-9712