Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Q00000X | Family Doctor | OS-005951-L | PA |
Y | 207QG0300X | Family Doctor - Geriatric Medicine | OS005951L | PA |
NPI | 1083685879 |
---|---|
Provider Name | Dr. Ronald M Unice |
First Address | Meadville, PA 16335-2566 |
Second Address | Meadville, PA 16335-2566 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 30/01/2006 |
Last Update Date | 17/03/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0010485190002 | (05) | PA |
D98775 | (02) | PA |