Bradtke, Rebekah Yvonne

Bradtke, Rebekah Yvonne is an sole proprietor health care provider with primary practice located at 1213 12Th Ave Se Suite 103, Dyersville IA 52040-2416. She recently has only one registered license in Eye and Vision Services Providers / Optician, which is considered as her primary health care specialty. Bradtke, Rebekah Yvonne can be contacted via phone (563) 875-2344.

Contact Information

Primary practice address
1213 12Th Ave Se Suite 103 Dyersville IA 52040-2416
Fax: (563) 875-2344
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optician 156FX1800X

Profile Details

NPI number 1124197538
LBN Legal business name Bradtke, Rebekah Yvonne
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 7th, 2006
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124197538 NPPES
Iowa MEDICAID 0449512

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