Rademaker, Ann E
Rademaker, Ann E is an individual health care provider with primary practice located at 11108 Parkview Circle Dr Attention: Polly Baloski, Fort Wayne IN 46845-1730. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Rademaker, Ann E can be contacted via phone (260) 266-5700.Contact Information
Primary practice address
11108 Parkview Circle Dr Attention: Polly Baloski
Fort Wayne IN 46845-1730
Phone: (260) 266-5700
Fax: (260) 266-5920
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | 71001857A | Indiana |
Profile Details
| NPI number | 1457343436 |
|---|---|
| LBN Legal business name | Rademaker, Ann E |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 16th, 2005 |
| Last updated | Mar 25th, 2021 - about 3 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 | 1457343436 | NPPES |
| Indiana | Other | 000000641096 | ANTHEM |
| Indiana | MEDICAID | 200507030 | ANTHEM |
| Indiana | Other | P00825411 | ANTHEM |
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