Provider Demographics
NPI:1780153684
Name:FEIMAN, RHONDA (LAC)
Entity type:Individual
Prefix:MS
First Name:RHONDA
Middle Name:
Last Name:FEIMAN
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:MS
Other - First Name:RHONDA
Other - Middle Name:
Other - Last Name:FEIMAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LAC
Mailing Address - Street 1:PO BOX 233
Mailing Address - Street 2:
Mailing Address - City:BELFAST
Mailing Address - State:ME
Mailing Address - Zip Code:04915-0233
Mailing Address - Country:US
Mailing Address - Phone:207-338-4454
Mailing Address - Fax:
Practice Address - Street 1:18 HARBOR ST
Practice Address - Street 2:
Practice Address - City:BELFAST
Practice Address - State:ME
Practice Address - Zip Code:04915-6755
Practice Address - Country:US
Practice Address - Phone:207-338-4454
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-11-20
Last Update Date:2018-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMNM292171100000X
NY295171100000X
MEAC125171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty