Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 0101027874 | VA |
Y | 2080P0205X | Pediatric Endocrinologist | 0101027874 | VA |
NPI | 1417904053 |
---|---|
Provider Name | Reuben D Rohn |
First Address | Baltimore, MD 21279-0137 |
Second Address | Norfolk, VA 23507-1910 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/05/2006 |
Last Update Date | 20/01/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0001174401 | (05) | DE |
0017337390001 | (05) | PA |
006722415 | (05) | VA |
128551300 | (05) | MD |
6700298000 | (05) | WV |
8906571 | (05) | NC |
B08559 | (02) |