Radtke, Douglas

Radtke, Douglas is an sole proprietor health care provider with primary practice located at 6233 Bankers Rd Suite 12, Mount Pleasant WI 53403-9700. He recently has only one registered license in Other Service Providers / Prevention Professional, which is considered as his primary health care specialty. Radtke, Douglas can be contacted via phone (262) 358-6730.

Contact Information

Primary practice address
6233 Bankers Rd Suite 12 Mount Pleasant WI 53403-9700
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Prevention Professional 405300000X 4994-146 Wisconsin

Profile Details

NPI number 1407396013
LBN Legal business name Radtke, Douglas
Credentials LMT, BCTMB
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 1st, 2017
Last updated Mar 1st, 2017 - about 7 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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