Provider Demographics
NPI:1932409141
Name:FELIU, JOSEP VICENC (CP)
Entity Type:Individual
Prefix:MR
First Name:JOSEP
Middle Name:VICENC
Last Name:FELIU
Suffix:
Gender:M
Credentials:CP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1302 DABNEY DR
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NC
Mailing Address - Zip Code:27536-3531
Mailing Address - Country:US
Mailing Address - Phone:252-430-8778
Mailing Address - Fax:252-430-8770
Practice Address - Street 1:1302 DABNEY DR
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NC
Practice Address - Zip Code:27536-3531
Practice Address - Country:US
Practice Address - Phone:252-430-8778
Practice Address - Fax:252-430-8770
Is Sole Proprietor?:No
Enumeration Date:2010-10-22
Last Update Date:2011-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCCP003692224P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224P00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersProsthetist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCP84800Medicaid
NC6418900001Medicare NSC