Raczek, James A

Raczek, James A is an individual health care provider with primary practice located at 3400 Ministry Pkwy , Weston WI 54476-5220. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Raczek, James A can be contacted via phone (715) 393-1000.

Contact Information

Primary practice address
3400 Ministry Pkwy Weston WI 54476-5220
Phone: (715) 393-1000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 012569 Maine
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 24811 Wisconsin

Profile Details

NPI number 1114945433
LBN Legal business name Raczek, James A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 17th, 2006
Last updated Feb 15th, 2024 - about last year

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 1114945433 NPPES
Maine MEDICAID 326460099

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