Racz, Joyce Ellen
Racz, Joyce Ellen is an individual health care provider with primary practice located at 621 Memorial Dr Ste 402 , South Bend IN 46601-1074. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Racz, Joyce Ellen can be contacted via phone (574) 647-2500.Contact Information
Primary practice address
621 Memorial Dr Ste 402
South Bend IN 46601-1074
Phone: (574) 647-2500
Fax: (574) 647-7170
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 28082633A | Indiana |
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 71005543 | Indiana |
Profile Details
NPI number | 1861879264 |
---|---|
LBN Legal business name | Racz, Joyce Ellen |
Credentials | MSN, FNP-C, RN |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 5th, 2015 |
Last updated | Mar 28th, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1861879264 | NPPES |
Indiana | MEDICAID | 201315860 | |
Indiana | Other | 000000955116 |
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