Provider Demographics
NPI:1346303468
Name:BADZIK, RAYMOND EUGENE
Entity Type:Individual
Prefix:DR
First Name:RAYMOND
Middle Name:EUGENE
Last Name:BADZIK
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6091 STEUBENVILLE PIKE
Mailing Address - Street 2:
Mailing Address - City:MC KEES ROCKS
Mailing Address - State:PA
Mailing Address - Zip Code:15136-1336
Mailing Address - Country:US
Mailing Address - Phone:412-997-1320
Mailing Address - Fax:412-494-9579
Practice Address - Street 1:6091 STEUBENVILLE PIKE
Practice Address - Street 2:
Practice Address - City:MC KEES ROCKS
Practice Address - State:PA
Practice Address - Zip Code:15136-1336
Practice Address - Country:US
Practice Address - Phone:412-997-1320
Practice Address - Fax:412-494-9579
Is Sole Proprietor?:No
Enumeration Date:2006-12-19
Last Update Date:2009-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC001609-L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA179602H1BMedicare PIN
U89631Medicare UPIN