Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225100000X | Physical Therapist | PT002986E | PA |
Y | 2251E1300X | Electrophysiology, Clinical | 12940 | MD |
N | 2251E1300X | Electrophysiology, Clinical | PT002986E | PA |
NPI | 1861821472 |
---|---|
Provider Name | Rodney Schlegel |
First Address | Easton, MD 21601-4087 |
Second Address | Salisbury, MD 21804 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/11/2013 |
Last Update Date | 26/06/2018 |