Greg Evan Raecker in Waterloo - Diagnostic Radiology
Greg Evan Raecker - NPI 1225076029
Greg Evan Raecker is a Diagnostic Radiology in Waterloo, Iowa. Greg Evan Raecker practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for Greg Evan Raecker is 1225076029. The last update date is 2007-09-07.
Greg Evan Raecker's current location address is Po Box 2758, Waterloo, Iowa. You can contact this provider via phone number 3198336001 and fax number 3198336003. The mailing address for Greg Evan Raecker is Po Box 2758, Waterloo, Iowa. To know further, please read the information below!
Provider Profile Detail
Provider Name | Greg Evan Raecker |
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Address | Po Box 2758, Waterloo, Iowa |
Phone Number | 3198336001 |
Fax Number | 3198336003 |
Sole Proprietor | N |
Credentials | DO |
NPI Number Detail
NPI Number | 1225076029 |
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Provider Enumeration Date | 2006-06-03 |
Last Updated Date | 2007-09-07 |
Provider Mailing Address Detail
Address | Po Box 2758 |
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City | Waterloo |
State | Iowa (IA) |
Post Code | 507042758 |
Phone Number | 3198336001 |
Fax Number | 3198336003 |
Provider's Primary Taxonomy Detail
Speciality | Diagnostic Radiology |
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Taxonomy | 2085R0202X |
Licence No | 2087 |
Definition: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
42141730793 | IA | JOHN DEERE HLTH INS PLAN | |
56258 | IA | WELLMARK INS PLAN | |
5030635 | IA | -- |
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What is the Greg Evan Raecker's unique identification number?
The Greg Evan Raecker has been assigned the NPI (National Provider Identifier) Number 1225076029 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Where is the Greg Evan Raecker located?
The Greg Evan Raecker is located at Po Box 2758, Waterloo, IA 507042758.
What is Greg Evan Raecker's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Greg Evan Raecker is Diagnostic Radiology, and the taxonomy code that categorizes this field of expertise is 2085R0202X.
On what date did the Greg Evan Raecker receive its 1225076029 assignment from the Centers for Medicare & Medicaid Services?
The Greg Evan Raecker was assigned its 1225076029 by the Centers for Medicare & Medicaid Services on 2006-06-03.
As of what date were the details pertaining to Greg Evan Raecker last refreshed?
The information related to the Greg Evan Raecker, including its address, specialty, and other relevant details, was last updated on 2007-09-07.
NPI Number: 1720081763
Address: 675 E Highway 60, Hardinsburg, KY