Provider Demographics
NPI:1225584733
Name:FEEZLE, JODIE MARIE (MHS)
Entity Type:Individual
Prefix:
First Name:JODIE
Middle Name:MARIE
Last Name:FEEZLE
Suffix:
Gender:F
Credentials:MHS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:732 N 6TH AVE
Mailing Address - Street 2:
Mailing Address - City:STEUBENVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43952-1841
Mailing Address - Country:US
Mailing Address - Phone:740-966-7058
Mailing Address - Fax:740-282-5828
Practice Address - Street 1:732 N 6TH AVE
Practice Address - Street 2:
Practice Address - City:STEUBENVILLE
Practice Address - State:OH
Practice Address - Zip Code:43952-1841
Practice Address - Country:US
Practice Address - Phone:740-966-7058
Practice Address - Fax:740-282-5828
Is Sole Proprietor?:No
Enumeration Date:2016-08-26
Last Update Date:2016-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator