Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 1223X0400X | Orthodontists | 7122 | NE |
Y | 1223X0400X | Orthodontists | DS024950L | PA |
NPI | 1013974294 |
---|---|
Provider Name | Dr. Robert H Cinatl |
First Address | State College, PA 16801-2741 |
Second Address | Port Matilda, PA 16870-7235 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 30/04/2006 |
Last Update Date | 06/12/2016 |