Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | 18113 | NE |
NPI | 1063496420 |
---|---|
Provider Name | Michael F Rapp |
First Address | Lincoln, NE 68506-1567 |
Second Address | Lincoln, NE 68506-1567 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/11/2005 |
Last Update Date | 08/06/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
47079761113 | (05) | NE |
E48224 | (02) |