Raezer, David Michael
Raezer, David Michael is an sole proprietor health care provider with primary practice located at 1999 Sproul Rd Suites 12 And 16, Broomall PA 19008-3522. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Raezer, David Michael can be contacted via phone (610) 534-6100.Contact Information
Primary practice address
1999 Sproul Rd Suites 12 And 16
Broomall PA 19008-3522
Phone: (610) 534-6100
Fax: (610) 534-6104
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | MD030565L | Pennsylvania |
Profile Details
| NPI number | 1588761639 |
|---|---|
| LBN Legal business name | Raezer, David Michael |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 20th, 2006 |
| Last updated | May 7th, 2020 - about 4 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 | 1588761639 | NPPES |
| Pennsylvania | Other | 0031117000 | PERSONAL CHOICE ID |
| Pennsylvania | Other | 0031117000 | PERSONAL CHOICE ID |
| Pennsylvania | Other | 146871 | PERSONAL CHOICE ID |
| Pennsylvania | Other | P0034748 | PERSONAL CHOICE ID |
| Pennsylvania | Other | P00252734 | PERSONAL CHOICE ID |
| Pennsylvania | Other | 025027 | PERSONAL CHOICE ID |
| Pennsylvania | Other | 12459 | PERSONAL CHOICE ID |
| Pennsylvania | Other | 36158333 | PERSONAL CHOICE ID |
| Pennsylvania | Other | CL6874 | PERSONAL CHOICE ID |
| Pennsylvania | MEDICAID | 0007379020002 | PERSONAL CHOICE ID |
| Pennsylvania | MEDICAID | 0007380240001 | PERSONAL CHOICE ID |
| Pennsylvania | Other | 0031117000 | PERSONAL CHOICE ID |
| Pennsylvania | Other | 0073802406 | PERSONAL CHOICE ID |
| Pennsylvania | Other | 1202110002 | PERSONAL CHOICE ID |
| Pennsylvania | Other | 4088087 | PERSONAL CHOICE ID |
| Pennsylvania | Other | DES178 | PERSONAL CHOICE ID |
| Pennsylvania | Other | 2327902 | PERSONAL CHOICE ID |
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