Racek, Donald J

Racek, Donald J is an sole proprietor health care provider with primary practice located at 60 Evergreen Pl Suite 902, East Orange NJ 07018-2106. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Racek, Donald J can be contacted via phone (973) 675-1000.

Contact Information

Primary practice address
60 Evergreen Pl Suite 902 East Orange NJ 07018-2106
Fax: (973) 675-9909
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 38MC00552500 New Jersey

Profile Details

NPI number 1861553612
LBN Legal business name Racek, Donald J
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 13th, 2006
Last updated Jul 8th, 2007 - about 17 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 1861553612 NPPES
New Jersey MEDICAID 8698708

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