Leroy Karl Rung in Camp Hill - Physician Assistant

Leroy Karl Rung - NPI 1104874114

Leroy Karl Rung is a Physician Assistant in Camp Hill, Pennsylvania. Leroy Karl Rung practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Leroy Karl Rung is 1104874114. The last update date is 2020-08-10.

Leroy Karl Rung's current location address is 423 North 21st St., Camp Hill, Pennsylvania. You can contact this provider via phone number 7177632559 and fax number 7179093889. The mailing address for Leroy Karl Rung is 423 North 21st St., Camp Hill, Pennsylvania. To know further, please read the information below!

Provider Profile Detail

Provider Name Leroy Karl Rung
Address 423 North 21st St., Camp Hill, Pennsylvania
Phone Number 7177632559
Fax Number 7179093889
Sole Proprietor N
Credentials PAC

NPI Number Detail

NPI Number 1104874114
Provider Enumeration Date 2006-05-04
Last Updated Date 2020-08-10

Provider Mailing Address Detail

Address 423 North 21st St.
City Camp Hill
State Pennsylvania (PA)
Post Code 17011
Phone Number 7177632559
Fax Number 7179093889

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No MA001806L
Definition:
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
50058941 PA CAPITAL BC

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FAQs about Leroy Karl Rung

What is the unique identification code assigned to Leroy Karl Rung by the Centers for Medicare & Medicaid Services?

The Leroy Karl Rung has been issued the NPI (National Provider Identifier) 1104874114. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where Leroy Karl Rung's facilities are geographically located?

The facilities of Leroy Karl Rung are physically situated at the following location: 423 North 21St St., Camp Hill, PA, 17011.

What is the Leroy Karl Rung's area of specialization and corresponding taxonomy classification?

The Leroy Karl Rung's specialty field is Physician Assistant, and it falls under the taxonomy code 363A00000X, which categorizes healthcare providers based on their specialties.

On what date did the Leroy Karl Rung receive the assignment of its 1104874114 from the Centers for Medicare & Medicaid Services?

The Leroy Karl Rung was issued its 1104874114 by the Centers for Medicare & Medicaid Services on 2006-05-04.

As of what date were the details related to Leroy Karl Rung most recently updated or revised?

The information pertaining to Leroy Karl Rung, including its address, specialty, and other relevant details, was last updated or revised on 2020-08-10.

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