Rajner, Colette
Rajner, Colette is an individual health care provider with primary practice located at 11050 Mount Belvedere Boulevard , Fort Drum NY 13602-5004. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Rajner, Colette can be contacted via phone (315) 772-9292.Contact Information
Primary practice address
11050 Mount Belvedere Boulevard
Fort Drum NY 13602-5004
Phone: (315) 772-9292
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 42753 | Kentucky |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | R1579 | Kentucky |
Profile Details
| NPI number | 1144411596 |
|---|---|
| LBN Legal business name | Rajner, Colette |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 9th, 2007 |
| Last updated | Feb 19th, 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 | 1144411596 | NPPES |
| Kentucky | MEDICAID | 7100051470 |
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