Provider Demographics
NPI:1518023001
Name:RAPALJE, JAMES JOHN (PA)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:JOHN
Last Name:RAPALJE
Suffix:
Gender:M
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6201 RAEFORD RD
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28304-2425
Mailing Address - Country:US
Mailing Address - Phone:910-486-7777
Mailing Address - Fax:910-482-4358
Practice Address - Street 1:6201 RAEFORD RD
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28304-2425
Practice Address - Country:US
Practice Address - Phone:910-486-7777
Practice Address - Fax:910-482-4358
Is Sole Proprietor?:No
Enumeration Date:2006-12-29
Last Update Date:2018-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCNC100077207Q00000X
NC100077363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC016UAOtherBLUE CROSS BLUE SHIELD
NC2029304OtherUNITED HEALTHCARE
S54853Medicare UPIN