Radtke, Julie Jean

Radtke, Julie Jean is an individual health care provider with primary practice located at 1505 N Alma School Rd Ste 2, Chandler AZ 85224-2900. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Radtke, Julie Jean can be contacted via phone (480) 626-4142.

Contact Information

Primary practice address
1505 N Alma School Rd Ste 2 Chandler AZ 85224-2900
Phone: (480) 626-4142
Fax: (480) 626-7370
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 225XP0200X 3793 Arizona

Profile Details

NPI number 1770702268
LBN Legal business name Radtke, Julie Jean
Credentials OTRL
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 24th, 2007
Last updated Nov 1st, 2010 - about 15 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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Identifiers

StateTypeNumberIssuer
All States NPI 1770702268 NPPES
Arizona MEDICAID 156753

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