Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | 217339 | MO |
NPI | 1003840349 |
---|---|
Provider Name | Rachel Lynn Fishman Oiknine |
First Address | Chesterfield, MO 63017-3625 |
Second Address | Chesterfield, MO 63017-3625 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/07/2006 |
Last Update Date | 30/09/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
11541438 | CAQH (01) | MO |
201555 | BC/BS (01) | MO |
I38158 | (02) |