Rejdukowski, Christine

Rejdukowski, Christine is an individual health care provider with primary practice located at 1705 W Main St , Mesa AZ 85201-6920. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Rejdukowski, Christine can be contacted via phone (877) 809-5092.

Contact Information

Primary practice address
1705 W Main St Mesa AZ 85201-6920
Fax: (480) 718-9477
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 036102683 Illinois

Profile Details

NPI number 1487622411
LBN Legal business name Rejdukowski, Christine
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 8th, 2006
Last updated Mar 4th, 2021 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1487622411 NPPES
Illinois MEDICAID 036102683

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