Provider Demographics
NPI:1710109806
Name:FIEHRER, JEFFREY T
Entity Type:Individual
Prefix:MR
First Name:JEFFREY
Middle Name:T
Last Name:FIEHRER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1513 WOODLEY RD
Mailing Address - Street 2:
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45403-1633
Mailing Address - Country:US
Mailing Address - Phone:937-910-9491
Mailing Address - Fax:
Practice Address - Street 1:1513 WOODLEY RD
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45403-1633
Practice Address - Country:US
Practice Address - Phone:937-910-9491
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-02
Last Update Date:2008-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide