Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0117X | Orthopaedic Spine Surgeon | 16549 | NE |
NPI | 1043269715 |
---|---|
Provider Name | Dr. Daniel Ray Ripa |
First Address | Lincoln, NE 68510-2471 |
Second Address | Lincoln, NE 68510-2471 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/05/2006 |
Last Update Date | 23/09/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
47070309913 | (05) | NE |
B65673 | (02) | NE |