Provider Demographics
NPI:1093101248
Name:RAUBITSCHEK, NICHOLAS ALEXANDER (MD)
Entity Type:Individual
Prefix:
First Name:NICHOLAS
Middle Name:ALEXANDER
Last Name:RAUBITSCHEK
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:48 HAMILL RD
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON
Mailing Address - State:WV
Mailing Address - Zip Code:25701-4755
Mailing Address - Country:US
Mailing Address - Phone:681-432-9270
Mailing Address - Fax:
Practice Address - Street 1:3952 TEAYS VALLEY RD
Practice Address - Street 2:
Practice Address - City:HURRICANE
Practice Address - State:WV
Practice Address - Zip Code:25526-8728
Practice Address - Country:US
Practice Address - Phone:304-757-6736
Practice Address - Fax:304-757-0582
Is Sole Proprietor?:No
Enumeration Date:2015-04-14
Last Update Date:2023-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA154119207Q00000X
IL36.16363207Q00000X
AL45880207Q00000X
MIEMC0002980207Q00000X
AZ69289207Q00000X
FLME162230207Q00000X
GA94754207Q00000X
OH35.140278207Q00000X
TXU2109207Q00000X
WAIMLC.MD.61408269207Q00000X
WI2731-320207Q00000X
WV29933207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine