Edward K Raczka is a Sports Medicine in Denver, Colorado. Edward K Raczka practices all healthcare services and medical treatments related to Sports Medicine. The NPI Number for Edward K Raczka is 1114907482. The last update date is 2015-07-01.
Edward K Raczka's current location address is 850 E Harvard Ave, Denver, Colorado. You can contact this provider via phone number 3037621200 and fax number 3037620508. The mailing address for Edward K Raczka is 850 E Harvard Ave, Denver, Colorado. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Edward K Raczka |
|---|---|
| Address | 850 E Harvard Ave, Denver, Colorado |
| Phone Number | 3037621200 |
| Fax Number | 3037620508 |
| Sole Proprietor | Y |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1114907482 |
|---|---|
| Provider Enumeration Date | 2006-01-20 |
| Last Updated Date | 2015-07-01 |
Provider Mailing Address Detail
| Address | 850 E Harvard Ave |
|---|---|
| City | Denver |
| State | Colorado (CO) |
| Post Code | 802105073 |
| Phone Number | 3037621200 |
| Fax Number | 3037620508 |
Provider's Primary Taxonomy Detail
| Speciality | Sports Medicine |
|---|---|
| Taxonomy | 213Es0000X |
| Licence No | 298 |
|
Definition: A doctor of podiatric medicine who focuses on treating athletic injuries related to the lower extremities. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1002989 | CO | -- | |
| 7047 | CO | BC/BS PROVIDER # |
Post Comment/ Review Below
What is the unique provider identifier assigned to Edward K Raczka?
The Edward K Raczka has been issued the NPI (National Provider Identifier) 1114907482 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Edward K Raczka?
The Edward K Raczka is physically situated at 850 E Harvard Ave, in the city of Denver, state of CO, with the postal code 802105073.
What is Edward K Raczka's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Edward K Raczka is Sports Medicine, and the taxonomy classification code that categorizes this area of expertise is 213Es0000X.
On what date did the Edward K Raczka receive the assignment of its 1114907482 from the Centers for Medicare & Medicaid Services?
The Edward K Raczka was issued its 1114907482 by the Centers for Medicare & Medicaid Services on 2006-01-20.
As of what date was the information regarding Edward K Raczka, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Edward K Raczka, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2015-07-01.
NPI Number: 1215930425
Address: 224 W Exchange St, Akron, OH