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
Fax: (484) 229-1188
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174984157 NPPES
Pennsylvania MEDICAID CER-00091663

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