Raczka, Edward K

Raczka, Edward K is an sole proprietor health care provider with primary practice located at 850 E Harvard Ave Suite 385, Denver CO 80210-5073. He recently has 3 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine, Podiatric Medicine & Surgery Service Providers / Sports Medicine, Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery. Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine is his primary health care specialty. Raczka, Edward K can be contacted via phone (303) 762-1200.

Contact Information

Primary practice address
850 E Harvard Ave Suite 385 Denver CO 80210-5073
Phone: (303) 762-1200
Fax: (303) 762-0508
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine 213EP1101X 298 Colorado
Podiatric Medicine & Surgery Service Providers / Sports Medicine 213ES0000X 298 Colorado
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 298 Colorado

Profile Details

NPI number 1114907482
LBN Legal business name Raczka, Edward K
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 20th, 2006
Last updated Jul 1st, 2015 - about 9 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 1114907482 NPPES
Colorado MEDICAID 01002989
Colorado Other 7047

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