Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 237621 | NY |
Y | 207X00000X | Orthopaedic Surgeon | D0070821 | MD |
N | 207XX0005X | Sports Medicine Orthopaedic Surgeon | 239423 | MA |
N | 207XX0801X | Orthopaedic Trauma Surgeon | D0070821 | MD |
NPI | 1144497959 |
---|---|
Provider Name | Dr. Ralph Frank Henn III |
First Address | Baltimore, MD 21264-4881 |
Second Address | Baltimore, MD 21207-6665 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/05/2008 |
Last Update Date | 27/10/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1144497959 | INDIVIDUAL NPI (01) | MD |