1992765184 NPI number — DR. JEFFREY LEE RAJCHEL DDS

Table of content: HEATHER STYES (NPI 1063108058)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1992765184 NPI number — DR. JEFFREY LEE RAJCHEL DDS

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
RAJCHEL
Provider First Name:
JEFFREY
Provider Middle Name:
LEE
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
DDS
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1992765184
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
01/11/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2201 DOVER RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
HARRISBURG
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
17112-1003
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
717-652-5002
Provider Business Mailing Address Fax Number:
717-652-5400

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2201 DOVER RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HARRISBURG
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17112-1003
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-652-5002
Provider Business Practice Location Address Fax Number:
717-652-5400
Provider Enumeration Date:
03/23/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 1223P0106X , with the licence number:  DS027923L , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 020611093 . This is a "METLIFE DENTAL" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 2906401 . This is a "AETNA-POS" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 5001032 . This is a "KEYSTONE HEALTH PLAN" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 020611093 . This is a "MAMSI" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 545787 . This is a "UNITED CONCORDIA" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 020611093 . This is a "GUARDIAN DENTAL" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 001416561 . This is a "HIGHMARK" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 020611093 . This is a "DELTA USA" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 2904265 . This is a "AETNA-HMO" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 020611093 . This is a "AMERITAS" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 188492 . This is a "HEALTH AMERICA" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 188492 . This is a "HEALTH ASSURANCE" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 4214087 . This is a "AETNA-NON HMO" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 020611093 . This is a "CIGNA DENTAL" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 020611093 . This is a "DELTA DENTAL" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 020611093 . This is a "DENTAMAX" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 020611093 . This is a "FIDELIO" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 50001032 . This is a "CAPITAL BLUE CROSS" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".




Copyright © 2007-2025 www.npivalidator.com