Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0106X | Oral and Maxillofacial Pathology | DS027923L | PA |
NPI | 1992765184 |
---|---|
Provider Name | Dr. Jeffrey Lee Rajchel |
First Address | Harrisburg, PA 17112-1003 |
Second Address | Harrisburg, PA 17112-1003 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 23/03/2006 |
Last Update Date | 11/01/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
001416561 | HIGHMARK (01) | PA |
020611093 | AMERITAS (01) | PA |
020611093 | CIGNA DENTAL (01) | PA |
020611093 | DELTA DENTAL (01) | PA |
020611093 | DELTA USA (01) | PA |
020611093 | DENTAMAX (01) | PA |
020611093 | FIDELIO (01) | PA |
020611093 | GUARDIAN DENTAL (01) | PA |
020611093 | MAMSI (01) | PA |
020611093 | METLIFE DENTAL (01) | PA |
188492 | HEALTH AMERICA (01) | PA |
188492 | HEALTH ASSURANCE (01) | PA |
2904265 | AETNA-HMO (01) | PA |
2906401 | AETNA-POS (01) | PA |
4214087 | AETNA-NON HMO (01) | PA |
50001032 | CAPITAL BLUE CROSS (01) | PA |
5001032 | KEYSTONE HEALTH PLAN (01) | PA |
545787 | UNITED CONCORDIA (01) | PA |
T63958 | (02) | PA |