Rajczak, Susan C

Rajczak, Susan C is an individual health care provider with primary practice located at 550 Orchard Park Rd A103, West Seneca NY 14224-2646. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Rajczak, Susan C can be contacted via phone (716) 677-5500.

Contact Information

Primary practice address
550 Orchard Park Rd A103 West Seneca NY 14224-2646
Phone: (716) 677-5500
Fax: (716) 677-5008
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X F302131 New York

Profile Details

NPI number 1578563995
LBN Legal business name Rajczak, Susan C
Credentials Adult Nurse Practitioner (ANP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2005
Last updated Dec 11th, 2007 - about 17 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 1578563995 NPPES
New York Other 000560315001 BC/BS
New York MEDICAID 01857345 BC/BS
New York Other 040426001782 BC/BS
New York Other 5711686 BC/BS

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