Racowsky, Marvin T

Racowsky, Marvin T is an individual health care provider with primary practice located at 8260 W Indian School Rd , Phoenix AZ 85033. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Racowsky, Marvin T can be contacted via phone (632) 846-7122.

Contact Information

Primary practice address
8260 W Indian School Rd Phoenix AZ 85033
Phone: (632) 846-7122
Fax: (623) 846-7027
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 1229 Arizona

Profile Details

NPI number 1871567461
LBN Legal business name Racowsky, Marvin T
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 13th, 2006
Last updated Jul 8th, 2007 - about 18 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 1871567461 NPPES
Arizona MEDICAID 154873
Arizona Other 67566

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