Rajewski, Robert Edward

Rajewski, Robert Edward is an individual health care provider with primary practice located at 1441 E 84Th Pl , Merrillville IN 46410-6451. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Rajewski, Robert Edward can be contacted via phone (219) 736-9115.

Contact Information

Primary practice address
1441 E 84Th Pl Merrillville IN 46410-6451
Phone: (219) 736-9115
Fax: (219) 794-2000
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 20040389A Indiana

Profile Details

NPI number 1124028154
LBN Legal business name Rajewski, Robert Edward
Credentials PSYD HSPP
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 1st, 2005
Last updated Feb 24th, 2014 - about 12 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 1124028154 NPPES
Indiana MEDICAID 100342770A
Indiana Other 000000202003

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