Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | OS009261L | PA |
N | 207XS0117X | Orthopaedic Spine Surgeon | OS009261L | PA |
NPI | 1306811062 |
---|---|
Provider Name | Dr. Chad M Rutter |
First Address | York, PA 17402-4723 |
Second Address | York, PA 17408-8549 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/02/2006 |
Last Update Date | 08/05/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
H32605 | (02) | PA |