Healthcare Provider Details

I. General information

NPI: 1518008424
Provider Name (Legal Business Name): DALE EDWARD RAPKE HIS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/12/2007
Last Update Date: 01/25/2024
Certification Date: 01/25/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

316 US ROUTE 1 STE 2B
YORK ME
03909-1673
US

IV. Provider business mailing address

316 US ROUTE 1
YORK ME
03909-1673
US

V. Phone/Fax

Practice location:
  • Phone: 207-703-0415
  • Fax: 207-363-1600
Mailing address:
  • Phone: 207-703-0415
  • Fax: 207-363-1600

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License NumberNH477
License Number StateNH
# 2
Primary TaxonomyY
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License NumberDL20000391
License Number StateME

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: