Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NN0400X | Neurology | DC3108 | OH |
NPI | 1063488039 |
---|---|
Provider Name | Dr. Richard Lee Van Voorhis |
First Address | Newcomerstown, OH 43832-1042 |
Second Address | Newcomerstown, OH 43832-1042 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/02/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2201736 | (05) | OH |
U82268 | (02) | OH |