1992765184 NPI number — DR. JEFFREY LEE RAJCHEL DDS

Table of content: DR. JEFFREY LEE RAJCHEL DDS (NPI 1992765184)

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