Provider Demographics
NPI:1396747697
Name:FEUCHT, RICHARD BERNARD II (MD)
Entity type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:BERNARD
Last Name:FEUCHT
Suffix:II
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:206 E SAINT PETER ST
Mailing Address - Street 2:
Mailing Address - City:CARENCRO
Mailing Address - State:LA
Mailing Address - Zip Code:70520-4009
Mailing Address - Country:US
Mailing Address - Phone:337-896-8422
Mailing Address - Fax:337-896-9116
Practice Address - Street 1:206 E SAINT PETER ST
Practice Address - Street 2:
Practice Address - City:CARENCRO
Practice Address - State:LA
Practice Address - Zip Code:70520-4009
Practice Address - Country:US
Practice Address - Phone:337-896-8422
Practice Address - Fax:337-896-9116
Is Sole Proprietor?:No
Enumeration Date:2005-06-01
Last Update Date:2007-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA022611207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1691623Medicaid
LAP00285816OtherRAILROAD MEDICARE
LA4E826Medicare PIN
LAP00285816OtherRAILROAD MEDICARE