Individual
ROBERT ELLIS NOECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
3147 COLLEGE HEIGHTS BLVD, ALLENTOWN, PA 18104-4813
(610) 841-2432
(610) 841-4433
Mailing address
1724 GREENWOOD RD, ALLENTOWN, PA 18103-2902
(610) 360-6975
(610) 841-4433
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN206769L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20038940
AMERIHEALTH MERCY
PA
01
—
753047838002
TRICARE
—
01
—
N0566906
HIGHMARK
—
01
—
P00205446
RAILROAD MEDICARE
PA
01
—
P00223408
RAILROAD MEDICARE
PA
Enumeration date
08/16/2005
Last updated
10/17/2007
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