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NPI Code Detail

MEDICARE: MR. JOEL RAYMOND FEIST M.S.

MEDICARE: MR. JOEL RAYMOND FEIST M.S.
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
11041C0700XClinical Social Worker1998-123WI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11998-123OTHERWILICENSED CLINICAL SOCIAL

General Provider Information

NPI Number : 1457302168
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. JOEL RAYMOND FEIST M.S.
Provider Business Mailing Address
First Line : 604 E 2ND ST
Second Line :
City : NEILLSVILLE
State : WI
Zip : 54456-2003
Country : US
Telephone Number : 715-743-3129
Fax Number :
Provider Business Practice Location Address
First Line : 517 COURT ST
Second Line : ROOM 503
City : NEILLSVILLE
State : WI
Zip : 54456-1971
Country : US
Telephone Number : 715-743-5208
Fax Number : 715-743-5209
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/15/2006
Last Update Date : 07/08/2007

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