Individual
MR. TIMOTHY J RATHBUN
Active
Individual
MR. TIMOTHY J RATHBUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
0024071653
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1083624548
—
VA
01
—
139180
ANTHEM
VA
01
—
300654
AMERIGROUP
VA
01
—
430039669
RAILROAD MEDICARE
VA
01
—
484645
NCPPO
VA
01
—
K142-0002
CAREFIRST
DC
Enumeration date
08/08/2006
Last updated
03/30/2015
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