Provider Demographics
NPI:1144203274
Name:RAPKIN, JEFFREY S (MD)
Entity Type:Individual
Prefix:DR
First Name:JEFFREY
Middle Name:S
Last Name:RAPKIN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:2801 N OAKWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:MUNCIE
Mailing Address - State:IN
Mailing Address - Zip Code:47304-2254
Mailing Address - Country:US
Mailing Address - Phone:765-254-1944
Mailing Address - Fax:765-254-1954
Practice Address - Street 1:115 GARWOOD RD
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:IN
Practice Address - Zip Code:47374-6031
Practice Address - Country:US
Practice Address - Phone:765-598-5910
Practice Address - Fax:765-254-1954
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-22
Last Update Date:2013-07-02
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IN01045320A207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN200101880Medicaid
OH0824479Medicaid
IN200101880Medicaid