Rademacher, Richard W.
Rademacher, Richard W. is an sole proprietor health care provider with primary practice located at 717 Columbia Ave , Saint Joseph MI 49085-2457. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Rademacher, Richard W. can be contacted via phone (269) 983-7261.Contact Information
Primary practice address
717 Columbia Ave
Saint Joseph MI 49085-2457
Phone: (269) 983-7261
Fax: (269) 983-0997
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 4901002496 | Michigan |
Profile Details
| NPI number | 1578513180 |
|---|---|
| LBN Legal business name | Rademacher, Richard W. |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 12th, 2006 |
| Last updated | Aug 1st, 2012 - about 13 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 | 1578513180 | NPPES |
| Michigan | MEDICAID | 943155278 |
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