Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207VG0400X | Gynecologist | MD020555E | PA |
NPI | 1134151772 |
---|---|
Provider Name | Dr. Henry Daniel Train |
First Address | Harrisburg, PA 17112-1908 |
Second Address | Harrisburg, PA 17112-1908 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/07/2006 |
Last Update Date | 22/05/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01422801 | CAPITAL BLUE CROSS (01) | PA |
032285 | BLUE CROSS BLUE SHIELD (01) | PA |
C28106 | (02) | PA |