Healthcare Provider Details

I. General information

NPI: 1205929205
Provider Name (Legal Business Name): ELIZABETH FEIGHAN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/02/2006
Last Update Date: 08/09/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8185 E WASHINGTON ST # 3
CHAGRIN FALLS OH
44023-4574
US

IV. Provider business mailing address

24701 EUCLID AVE
EUCLID OH
44117-1714
US

V. Phone/Fax

Practice location:
  • Phone: 440-543-3627
  • Fax: 440-543-7346
Mailing address:
  • Phone: 440-543-3627
  • Fax: 440-543-7346

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number35062235F
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: