MEDICARE: MR. ROBERT EUGENE SAUL RCS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number
1	246W00000X	Cardiology Technician	NAT'L REG # 00000545
2	246X00000X	Cardiovascular Specialist/Technologist	NAT'L REG # 00000545
3	246XS1301X	Sonography Specialist/Technologist Cardiovascular	NAT'L REG # 00000545

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2109347	OTHER	PA	AETNA
2	220984	OTHER	PA	HEALTH AMERICA/COVENTRY
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1437163672
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. ROBERT EUGENE SAUL RCS

Provider Business Mailing Address
First Line	:	P.O. BOX 508
Second Line	:
City	:	AVIS
State	:	PA
Zip	:	17721-0508
Country	:	US
Telephone Number	:	570-769-1651
Fax Number	:	570-769-6431

Provider Business Practice Location Address
First Line	:	930 BELLEFONTE AVE
Second Line	:	NWD PLAZA, SUITE 105
City	:	LOCK HAVEN
State	:	PA
Zip	:	17745-2754
Country	:	US
Telephone Number	:	570-748-7072
Fax Number	:	570-748-7084

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/27/2006
Last Update Date	:	10/12/2007

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Directions to “ MR. ROBERT EUGENE SAUL RCS” Practice Location

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