Individual
JOHN EDWARD RICE III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3 HOSPITAL DR, SUITE 212, LEWISBURG, PA 17837-9362
(570) 522-9771
(570) 522-9772
Mailing address
1 HOSPITAL DR, SUITE 306, LEWISBURG, PA 17837-9350
(570) 522-4110
(570) 768-3911
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
MD027740E
PA
2084N0600X
Clinical Neurophysiology Physician
MD027740E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0010470750004
—
PA
01
—
021299401
FEDERAL BLACK LUNG
PA
01
—
1262382H
GEISINGER
PA
01
—
164162
BLUE SHIELD
PA
01
—
232809429
TRICARE
PA
01
—
50037672
CAPITAL BLUE CROSS
PA
01
—
C32513
HEALTH AMERICA
PA
01
—
P00208746
RAILROAD MEDICARE
PA
Enumeration date
07/19/2006
Last updated
08/25/2021
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