=====================================================
General NPI Number Information
=====================================================
NPI Number | 1730190687
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | JOSEPH HENRY RAPIER JR. M.D.
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/10/2006
-----------------------------------------------------
Last Update Date | 07/08/2007
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 400 UNIVERSITY DR ARCHER CL. SUITE 101
-----------------------------------------------------
City | PRESTONSBURG
-----------------------------------------------------
State | KY
-----------------------------------------------------
Zip | 41653-1080
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 606-886-8553
-----------------------------------------------------
Fax | 606-886-8553
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 325 4TH ST
-----------------------------------------------------
City | PAINTSVILLE
-----------------------------------------------------
State | KY
-----------------------------------------------------
Zip | 41240-1153
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 606-789-1865
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 174400000X
-----------------------------------------------------
Taxonomy Name | Specialist
-----------------------------------------------------
License Number | 14865
-----------------------------------------------------
License Number State | KY
-----------------------------------------------------