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:
Health care specialties
| Specialty | Code | License # | 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 11 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 | 1124028154 | NPPES |
| Indiana | MEDICAID | 100342770A | |
| Indiana | Other | 000000202003 |
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