Rakoczy, Chrystyna

Rakoczy, Chrystyna is an individual health care provider with primary practice located at 1800 Lombard St Suite 701 Pepper Pavilion, Philadelphia PA 19146-8400. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Rakoczy, Chrystyna can be contacted via phone (215) 893-2457.

Contact Information

Primary practice address
1800 Lombard St Suite 701 Pepper Pavilion Philadelphia PA 19146-8400
Phone: (215) 893-2457
Fax: (215) 893-7514
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OEG000665 Pennsylvania

Profile Details

NPI number 1750349973
LBN Legal business name Rakoczy, Chrystyna
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2006
Last updated Oct 9th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1750349973 NPPES
Pennsylvania MEDICAID 1211903
Pennsylvania Other 0062431000

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