Provider Demographics
NPI:1326016510
Name:FEE, HARRY A (DPM)
Entity Type:Individual
Prefix:DR
First Name:HARRY
Middle Name:A
Last Name:FEE
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1098 CASCADE BLVD
Mailing Address - Street 2:
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23324-3530
Mailing Address - Country:US
Mailing Address - Phone:757-543-4833
Mailing Address - Fax:
Practice Address - Street 1:1098 CASCADE BLVD
Practice Address - Street 2:
Practice Address - City:CHESAPEAKE
Practice Address - State:VA
Practice Address - Zip Code:23324-3530
Practice Address - Country:US
Practice Address - Phone:757-543-4833
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-14
Last Update Date:2008-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0103000650213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA00930365Medicaid
VA4331440001OtherDMERC
VA00930365Medicaid
VA4331440001Medicare NSC