Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | 01026347A | IN |
NPI | 1023011699 |
---|---|
Provider Name | James Arthur Rang |
First Address | Evansville, IN 47710-1739 |
Second Address | Evansville, IN 47710-1739 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/05/2005 |
Last Update Date | 02/11/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000000111656 | ANTHEM BCBS (01) | IN |
0231480001 | MEDICARE DME (01) | IN |
100475520 | (05) | IN |
C25858 | (02) | IN |