Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 204D00000X | Neuromusculoskeletal Medicine (NMM) | 0S006325L | PA |
N | 207Q00000X | Family Doctor | 34006374 | OH |
NPI | 1376694679 |
---|---|
Provider Name | Dr. Karl J Falk |
First Address | Erie, PA 16505-2571 |
Second Address | Erie, PA 16509-2419 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/01/2007 |
Last Update Date | 04/01/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0011813680001 | (05) | PA |
0011813680006 | (05) | PA |
0011813680020 | (05) | PA |