Provider Demographics
NPI:1568478386
Name:FEICHT, CHARLES M (DO)
Entity Type:Individual
Prefix:DR
First Name:CHARLES
Middle Name:M
Last Name:FEICHT
Suffix:
Gender:M
Credentials:DO
Other - Prefix:DR
Other - First Name:CHARLES
Other - Middle Name:M
Other - Last Name:FEICHT
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DO
Mailing Address - Street 1:2951 MAPLE AVE
Mailing Address - Street 2:
Mailing Address - City:ZANESVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43701-1406
Mailing Address - Country:US
Mailing Address - Phone:740-454-4394
Mailing Address - Fax:740-454-4681
Practice Address - Street 1:2951 MAPLE AVE
Practice Address - Street 2:
Practice Address - City:ZANESVILLE
Practice Address - State:OH
Practice Address - Zip Code:43701-1406
Practice Address - Country:US
Practice Address - Phone:740-455-4915
Practice Address - Fax:740-455-4938
Is Sole Proprietor?:No
Enumeration Date:2006-08-01
Last Update Date:2022-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH1568478386208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0838080Medicaid
0837911Medicare PIN
0837912Medicare PIN
OH0838080Medicaid