MEDICARE: DR. HARRY A FEE DPM

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	213E00000X	Podiatrist	0103000650	VA

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
2	4331440001	OTHER	VA	DMERC

General Provider Information

NPI Number	:	1326016510
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HARRY A FEE DPM

Provider Business Mailing Address
First Line	:	1098 CASCADE BLVD
Second Line	:
City	:	CHESAPEAKE
State	:	VA
Zip	:	23324-3530
Country	:	US
Telephone Number	:	757-543-4833
Fax Number	:

Provider Business Practice Location Address
First Line	:	1098 CASCADE BLVD
Second Line	:
City	:	CHESAPEAKE
State	:	VA
Zip	:	23324-3530
Country	:	US
Telephone Number	:	757-543-4833
Fax Number	:

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

Provider Enumeration Date	:	03/14/2006
Last Update Date	:	07/22/2008

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