Raczek, Joseph
Raczek, Joseph is an sole proprietor health care provider with primary practice located at 577 Nashua St , Milford NH 03055-4912. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Raczek, Joseph can be contacted via phone (603) 672-0338.Contact Information
Primary practice address
577 Nashua St
Milford NH 03055-4912
Phone: (603) 672-0338
Fax: (602) 672-5228
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | MA2882 | Massachusetts |
| Eye and Vision Services Providers / Optometrist | 152W00000X | NH405 | New Hampshire |
Profile Details
| NPI number | 1710941125 |
|---|---|
| LBN Legal business name | Raczek, Joseph |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 13th, 2006 |
| Last updated | Apr 22nd, 2022 - about 4 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 | 1710941125 | NPPES |
| New Hampshire | MEDICAID | 80003740 | |
| New Hampshire | Other | 0903697Y0NH01 |
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