Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | 02000317A | IN |
NPI | 1386862183 |
---|---|
Provider Name | Dr. Larrie Gene Rinck |
First Address | Alexandria, IN 46001-8740 |
Second Address | Alexandria, IN 46001-8740 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 24/04/2007 |
Last Update Date | 08/07/2007 |