Ratajczak, Kenneth James

Ratajczak, Kenneth James is an individual health care provider with primary practice located at 3724 Greenleaf Drive , Waco TX 76710-1414. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / General Practice is his primary health care specialty. Ratajczak, Kenneth James can be contacted via phone (254) 776-4804.

Contact Information

Primary practice address
3724 Greenleaf Drive Waco TX 76710-1414
Phone: (254) 776-4804
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X H1651 Texas
Allopathic & Osteopathic Physicians / General Practice 208D00000X H1561 Texas

Profile Details

NPI number 1063418929
LBN Legal business name Ratajczak, Kenneth James
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 24th, 2005
Last updated Aug 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1063418929 NPPES
Texas MEDICAID 134236208
Texas MEDICAID 134236209
Texas Other P00124090
Texas Other 8K6251
Texas Other 5698031

Popular Providers