Provider Demographics
NPI:1730190687
Name:RAPIER, JOSEPH HENRY JR (MD)
Entity type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:HENRY
Last Name:RAPIER
Suffix:JR
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 1:325 4TH ST
Mailing Address - Street 2:
Mailing Address - City:PAINTSVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:41240-1153
Mailing Address - Country:US
Mailing Address - Phone:606-789-1865
Mailing Address - Fax:
Practice Address - Street 1:400 UNIVERSITY DR
Practice Address - Street 2:ARCHER CL. SUITE 101
Practice Address - City:PRESTONSBURG
Practice Address - State:KY
Practice Address - Zip Code:41653-1080
Practice Address - Country:US
Practice Address - Phone:606-886-8553
Practice Address - Fax:606-886-8553
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY14865174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY64-148653Medicaid
C-70896Medicare UPIN
KY64-148653Medicaid