Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207P00000X | Emergency Physician | 006629 | MI |
NPI | 1013017052 |
---|---|
Provider Name | Ronald L Rhule |
First Address | Cincinnati, OH 45263-0041 |
Second Address | Lansing, MI 48912-1811 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/09/2006 |
Last Update Date | 26/12/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0158133874 | BLUE CROSS BLUE SHIELD (01) | MI |
200000002606 | PHP & PHPFC (01) | MI |
2781276 | (05) | MI |
B48231 | (02) | MI |