Eicke, Raelee

Eicke, Raelee is an individual health care provider with primary practice located at 7730 N Union Blvd Ste 204 , Colorado Springs CO 80920-4083. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Eicke, Raelee can be contacted via phone (719) 323-3094.

Contact Information

Primary practice address
7730 N Union Blvd Ste 204 Colorado Springs CO 80920-4083
Phone: (719) 323-3094
Fax: (719) 266-1773
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY.0004955 Colorado

Profile Details

NPI number 1023491768
LBN Legal business name Eicke, Raelee
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2015
Last updated Nov 12th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1023491768 NPPES
Colorado MEDICAID 9000169310

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