Provider Demographics
NPI:1245562263
Name:DR FEEHAN LTD
Entity Type:Organization
Organization Name:DR FEEHAN LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:KATHLEEN
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:FEEHAN-SCHMIDT
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:651-436-9995
Mailing Address - Street 1:3343 SAINT CROIX TRL S
Mailing Address - Street 2:P.O. BOX 164
Mailing Address - City:AFTON
Mailing Address - State:MN
Mailing Address - Zip Code:55001-7301
Mailing Address - Country:US
Mailing Address - Phone:651-436-9995
Mailing Address - Fax:
Practice Address - Street 1:3343 SAINT CROIX TRL S
Practice Address - Street 2:
Practice Address - City:AFTON
Practice Address - State:MN
Practice Address - Zip Code:55001-7301
Practice Address - Country:US
Practice Address - Phone:651-436-9995
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-01
Last Update Date:2014-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN1964111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty