Radatz, Ethan

Radatz, Ethan is an sole proprietor health care provider with primary practice located at 6140 S Broadway , Lorain OH 44053-3821. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Other Service Providers / Case Manager/Care Coordinator. Other Service Providers / Case Manager/Care Coordinator is his primary health care specialty. Radatz, Ethan can be contacted via phone (440) 233-7232.

Contact Information

Primary practice address
6140 S Broadway Lorain OH 44053-3821
Phone: (440) 233-7232
Fax: (440) 204-4315
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X CDCA.170469 Ohio
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1316591019
LBN Legal business name Radatz, Ethan
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 31st, 2019
Last updated Jan 10th, 2020 - about 5 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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