Raethka, Michael Allan

Raethka, Michael Allan is an individual health care provider with primary practice located at 1390 Us Highway 61 Ste N1500 , Festus MO 63028-4137. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Raethka, Michael Allan can be contacted via phone (636) 933-8050.

Contact Information

Primary practice address
1390 Us Highway 61 Ste N1500 Festus MO 63028-4137
Phone: (636) 933-8050
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 2015021866 Missouri

Profile Details

NPI number 1033109392
LBN Legal business name Raethka, Michael Allan
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 26th, 2005
Last updated Aug 30th, 2023 - about 2 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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