Hirsch, Raphael

Hirsch, Raphael is an individual health care provider with primary practice located at 200 Hawkins Dr , Iowa City IA 52242-1009. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Pediatric Rheumatology. Allopathic & Osteopathic Physicians / Pediatric Rheumatology is his primary health care specialty. Hirsch, Raphael can be contacted via phone (319) 356-0469.

Contact Information

Primary practice address
200 Hawkins Dr Iowa City IA 52242-1009
Phone: (319) 356-0469
Fax: (319) 353-7790
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X MD419015 Pennsylvania
Allopathic & Osteopathic Physicians / Pediatric Rheumatology 2080P0216X 40231 Iowa

Profile Details

NPI number 1790758415
LBN Legal business name Hirsch, Raphael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 13th, 2006
Last updated Jun 27th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790758415 NPPES
Pennsylvania MEDICAID 001917208

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