Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VX0000X | Obstetrician | 01076106A | IN |
NPI | 1245461417 |
---|---|
Provider Name | Dr. Justin Neal Rasner |
First Address | Seymour, IN 47274-2363 |
Second Address | Seymour, IN 47274-2363 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/08/2009 |
Last Update Date | 02/11/2018 |