Radtke, Norman D

Radtke, Norman D is an sole proprietor health care provider with primary practice located at 3 Audubon Plaza Dr Suite 240, Louisville KY 40217-1319. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Radtke, Norman D can be contacted via phone (502) 636-2823.

Contact Information

Primary practice address
3 Audubon Plaza Dr Suite 240 Louisville KY 40217-1319
Phone: (502) 636-2823
Fax: (502) 634-1646
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 20988 Kentucky
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 01035488 Indiana

Profile Details

NPI number 1073514717
LBN Legal business name Radtke, Norman D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 3rd, 2005
Last updated Aug 26th, 2020 - about 5 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 1073514717 NPPES
Indiana MEDICAID 100003470B
Indiana MEDICAID 64209885
Indiana MEDICAID 100003470D
Indiana Other 000000047621
Indiana MEDICAID 100003470A

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