Bundor, Racheal
Bundor, Racheal is an sole proprietor health care provider with primary practice located at 2604 Johnson Rd , Upper Chichester PA 19061-3523. She recently has only one registered license in Nursing Service Related Providers / Day Training/Habilitation Specialist, which is considered as her primary health care specialty. Bundor, Racheal can be contacted via phone (267) 408-2202.Contact Information
Primary practice address
2604 Johnson Rd
Upper Chichester PA 19061-3523
Phone: (267) 408-2202
Fax: (484) 229-1188
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Nursing Service Related Providers / Day Training/Habilitation Specialist | 373H00000X | CER-00091663 | Pennsylvania |
Profile Details
NPI number | 1174984157 |
---|---|
LBN Legal business name | Bundor, Racheal |
Credentials | CEO |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Mar 17th, 2016 |
Last updated | Mar 17th, 2016 - about 8 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 | 1174984157 | NPPES |
Pennsylvania | MEDICAID | CER-00091663 |
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