Radecki, Richard T
Radecki, Richard T is an sole proprietor health care provider with primary practice located at 3874 Masthead Ne Bldg G, Albuquerque NM 87109-4479. He recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as his primary health care specialty. Radecki, Richard T can be contacted via phone (505) 338-2077.Contact Information
Primary practice address
3874 Masthead Ne Bldg G
Albuquerque NM 87109-4479
Phone: (505) 338-2077
Fax: (505) 338-1960
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | 94364 | New Mexico |
Profile Details
| NPI number | 1184682569 |
|---|---|
| LBN Legal business name | Radecki, Richard T |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 3rd, 2006 |
| Last updated | Dec 7th, 2010 - about 14 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 | 1184682569 | NPPES |
| New Mexico | MEDICAID | 00025532 |
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