Rachesky, Ingrid J

Rachesky, Ingrid J is an sole proprietor health care provider with primary practice located at 2550 Jenks Ave , Panama City FL 32405. She recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as her primary health care specialty. Rachesky, Ingrid J can be contacted via phone (850) 769-1481.

Contact Information

Primary practice address
2550 Jenks Ave Panama City FL 32405
Fax: (850) 763-2435
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X ME0044063 Florida

Profile Details

NPI number 1154415610
LBN Legal business name Rachesky, Ingrid J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 2nd, 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 1154415610 NPPES
Florida Other 03618 BCBS OF FLORIDA

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