Individual
BRIAN F FEILTEAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
6792 MAGNOLIA AVE, RIVERSIDE, CA 92506-2908
(951) 880-7423
(951) 346-3640
Mailing address
6792 MAGNOLIA AVE, RIVERSIDE, CA 92506-2908
(951) 880-7423
(951) 779-9001
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC22553
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DC0225530
BLUE SHIELD
CA
01
—
DC22553
CHIROPRACTIC LICENSE
CA
Enumeration date
10/06/2006
Last updated
06/26/2014
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