Krackov, Rachel E

Krackov, Rachel E is an individual health care provider with primary practice located at 15400 Biscayne Blvd Suite 103, Aventura FL 33160-4614. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Krackov, Rachel E can be contacted via phone (305) 957-7277.

Contact Information

Primary practice address
15400 Biscayne Blvd Suite 103 Aventura FL 33160-4614
Phone: (305) 957-7277
Fax: (305) 957-7048
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA00273 Rhode Island
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 9104539 Florida

Profile Details

NPI number 1922082148
LBN Legal business name Krackov, Rachel E
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 1st, 2005
Last updated Aug 10th, 2011 - about 13 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 1922082148 NPPES
Rhode Island MEDICAID 7050011

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