Individual
ALLEN RAKERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1 MELLON WAY, LATROBE, PA 15650-1197
(724) 689-0520
(724) 689-0522
Mailing address
1 MELLON WAY, LATROBE, PA 15650-1197
(724) 689-0520
(724) 689-0522
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA059033
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103315623
—
PA
01
—
14044833
CAQH
—
Enumeration date
06/12/2017
Last updated
02/10/2025
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