Raecker, Greg Evan

Raecker, Greg Evan is an individual health care provider with primary practice located at 1731 W Ridgeway Ave Ste 101, Waterloo IA 50701-4591. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Raecker, Greg Evan can be contacted via phone (319) 833-6001.

Contact Information

Primary practice address
1731 W Ridgeway Ave Ste 101 Waterloo IA 50701-4591
Phone: (319) 833-6001
Fax: (319) 833-6003
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 02087 Iowa

Profile Details

NPI number 1225076029
LBN Legal business name Raecker, Greg Evan
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 3rd, 2006
Last updated Sep 7th, 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1225076029 NPPES
Iowa Other 42141730793 JOHN DEERE HLTH INS PLAN
Iowa Other 56258 JOHN DEERE HLTH INS PLAN
Iowa MEDICAID 5030635 JOHN DEERE HLTH INS PLAN

Popular Providers