Radandt, Barry Micheal
Radandt, Barry Micheal is an individual health care provider with primary practice located at 1840 Meadow Ln Suite D, Pewaukee WI 53072-5576. He recently has only one registered license in Chiropractic Providers / Neurology, which is considered as his primary health care specialty. Radandt, Barry Micheal can be contacted via phone (262) 650-9337.Contact Information
Primary practice address
1840 Meadow Ln Suite D
Pewaukee WI 53072-5576
Phone: (262) 650-9337
Fax: (262) 650-1659
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Neurology | 111NN0400X | 2388 | Wisconsin |
Profile Details
| NPI number | 1861442949 |
|---|---|
| LBN Legal business name | Radandt, Barry Micheal |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 11th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1861442949 | NPPES |
| Wisconsin | MEDICAID | 38951900 |
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