Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363LA2200X | Nurse Practitioner - Adult Health | COA.07900NP | OH |
Y | 363LF0000X | Nurse Practitioner - Family Medicine | COA 07900 NP | OH |
NPI | 1013048800 |
---|---|
Provider Name | Joel Matthew Rice |
First Address | Washington Court House, OH 43160-3701 |
Second Address | Washington Court House, OH 43160-1899 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/03/2007 |
Last Update Date | 16/09/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2586894 | (05) | OH |
Q29114 | (02) | OH |