Luedke, Rita Marie

Luedke, Rita Marie is an sole proprietor health care provider with primary practice located at 744 S Webster Ave 455 S River Road, Green Bay WI 54301-3505. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is her primary health care specialty. Luedke, Rita Marie can be contacted via phone (920) 445-7226.

Contact Information

Primary practice address
744 S Webster Ave 455 S River Road Green Bay WI 54301-3505
Phone: (920) 445-7226
Fax: (920) 445-7229
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant 367H00000X 49409 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 49409 Wisconsin

Profile Details

NPI number 1497797971
LBN Legal business name Luedke, Rita Marie
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 11th, 2006
Last updated Apr 11th, 2016 - about 8 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 1497797971 NPPES
Wisconsin MEDICAID 43350900

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