Rzepka, Jack
Rzepka, Jack is an individual health care provider with primary practice located at 4200 Warrensville Center Rd Suite 420, Beachwood OH 44122-7051. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Rzepka, Jack can be contacted via phone (216) 752-9055.Contact Information
Primary practice address
4200 Warrensville Center Rd Suite 420
Beachwood OH 44122-7051
Phone: (216) 752-9055
Fax: (216) 752-0990
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 35-05-1524-R | Ohio |
Profile Details
| NPI number | 1306839790 |
|---|---|
| LBN Legal business name | Rzepka, Jack |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 31st, 2005 |
| Last updated | Feb 28th, 2008 - about 16 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 | 1306839790 | NPPES |
| Ohio | Other | 000000503638 | ANTHEM BLUE SHIELD |
| Ohio | Other | 000000536387 | ANTHEM BLUE SHIELD |
| Ohio | Other | 2350992 | ANTHEM BLUE SHIELD |
| Ohio | MEDICAID | 0731864 | ANTHEM BLUE SHIELD |
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