Doctor Name: | CHRISTIAN BRUCE RATHKE |
NPI Number: | 1073589289 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PA-C |
License Number: | 0110003347 |
Business Practice Address: | 1871 Evelyn Byrd Ave Harrisonburg, VA - 228013487 |
Business Phone Number: | 5404340559 |
Business Fax Number: | 5404341348 |
Mailing Address: | 1871 Evelyn Byrd Ave, HARRISONBURG |
State: | VA |
Postal Code: | 228013487 |
Phone Number: | 5404340559 |
Fax Number: | 5404341348 |
NPI Enumeration Date: | 02/27/2006 |
NPI Last Update Date: | 01/25/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | 0110003347 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |