Radtke, Theresa
Radtke, Theresa is an sole proprietor health care provider with primary practice located at 1053 Bloomfield Ave , Clifton NJ 07012-2120. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Radtke, Theresa can be contacted via phone (973) 594-0020.Contact Information
Primary practice address
1053 Bloomfield Ave
Clifton NJ 07012-2120
Phone: (973) 594-0020
Fax: (973) 594-0120
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 008483 | New York |
| Eye and Vision Services Providers / Optometrist | 152W00000X | 270A00667600 | New Jersey |
Profile Details
| NPI number | 1659723310 |
|---|---|
| LBN Legal business name | Radtke, Theresa |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 6th, 2016 |
| Last updated | Apr 23rd, 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.
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