Rachesky, Ingrid J
Rachesky, Ingrid J is an sole proprietor health care provider with primary practice located at 2550 Jenks Ave , Panama City FL 32405. She recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as her primary health care specialty. Rachesky, Ingrid J can be contacted via phone (850) 769-1481.Contact Information
Primary practice address
2550 Jenks Ave
Panama City FL 32405
Phone: (850) 769-1481
Fax: (850) 763-2435
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Adolescent Medicine | 2080A0000X | ME0044063 | Florida |
Profile Details
| NPI number | 1154415610 |
|---|---|
| LBN Legal business name | Rachesky, Ingrid J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 2nd, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1154415610 | NPPES |
| Florida | Other | 03618 | BCBS OF FLORIDA |
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