Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | MD005662E | PA |
NPI | 1063718641 |
---|---|
Provider Name | Dr. Richard Arthur Rahner |
First Address | Erie, PA 16509-2947 |
Second Address | Erie, PA 16509-2947 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 31/01/2011 |
Last Update Date | 31/01/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
MD005662E | PENNSYLVANIA MEDICAL LICENSE (01) | PA |