Ingrid J Rachesky M.D.

LBN: Ingrid J Rachesky M.D.
Ingrid J Rachesky M.D. is an health care organization with primary practice located at 2550 Jenks Ave , Panama City FL 32405-4310. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Ingrid J Rachesky M.D. can be contacted via phone (850) 769-1481, or through Smiley, Susie via phone (850) 769-1481.

Contact Information

Primary practice address
2550 Jenks Ave Panama City FL 32405-4310
Phone: (850) 769-1481
Fax: (850) 763-2435
Website:
Map and Directions
Authorized official contact:
Name: Smiley, Susie
Phone: (850) 769-1481

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X ME44063 Florida

Profile Details

NPI number 1942690862
LBN Legal business name Ingrid J Rachesky M.D.
DBA Doing business as
Authorized official Smiley, Susie
Entity Organization
Organization subpart 1 No
Enumeration date Jan 30th, 2015
Last updated Jan 30th, 2015 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1942690862 NPPES
Other 03618 BCBS
MEDICAID 371516700 BCBS

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