Provider Demographics
NPI:1073708731
Name:ROSALEE REHRIG D.O., P.C.
Entity Type:Organization
Organization Name:ROSALEE REHRIG D.O., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:AMANDA
Authorized Official - Middle Name:J
Authorized Official - Last Name:KUHN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:570-386-8861
Mailing Address - Street 1:1976 W PENN PIKE
Mailing Address - Street 2:
Mailing Address - City:NEW RINGGOLD
Mailing Address - State:PA
Mailing Address - Zip Code:17960-9396
Mailing Address - Country:US
Mailing Address - Phone:570-386-8861
Mailing Address - Fax:570-386-8862
Practice Address - Street 1:1976 W PENN PIKE
Practice Address - Street 2:
Practice Address - City:NEW RINGGOLD
Practice Address - State:PA
Practice Address - Zip Code:17960-9396
Practice Address - Country:US
Practice Address - Phone:570-386-8861
Practice Address - Fax:570-386-8862
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-06
Last Update Date:2011-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS 011171-L207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1019671310001Medicaid
80533OtherGEISINGER
PA1963833OtherPA BLUE SHIELD
002856OtherFIRST PRIORITY HEALTH
002856OtherFIRST PRIORITY HEALTH