Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208100000X | Physical Medicine & Rehabilitation Doctor | 105686 | MN |
N | 208100000X | Physical Medicine & Rehabilitation Doctor | 54608 | MN |
Y | 208100000X | Physical Medicine & Rehabilitation Doctor | 9491 | SD |
N | 208100000X | Physical Medicine & Rehabilitation Doctor | TEP 6392 | NE |
NPI | 1013228402 |
---|---|
Provider Name | Dr. Joshua S Sole |
First Address | Rapid City, SD 57701-7350 |
Second Address | Rapid City, SD 57701-7306 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/06/2010 |
Last Update Date | 17/01/2017 |