Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | 1861 | OH |
NPI | 1003999814 |
---|---|
Provider Name | Dr. Donald Duane Rank |
First Address | Sidney, OH 45365-2487 |
Second Address | Sidney, OH 45365-2487 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 23/10/2006 |
Last Update Date | 16/06/2008 |