Rathjen, Mark T
Rathjen, Mark T is an individual health care provider with primary practice located at 17660 Wright Street Suites 9/10, Omaha NE 68130. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Sports, which is considered as his primary health care specialty. Rathjen, Mark T can be contacted via phone (402) 933-4027.Contact Information
Primary practice address
17660 Wright Street Suites 9/10
Omaha NE 68130
Phone: (402) 933-4027
Fax: (402) 933-5027
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Sports | 2251S0007X | 2494 | Nebraska |
Profile Details
| NPI number | 1003969619 |
|---|---|
| LBN Legal business name | Rathjen, Mark T |
| Credentials | DPT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 18th, 2007 |
| Last updated | Dec 22nd, 2015 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1003969619 | NPPES |
| Nebraska | MEDICAID | 10025429200 | |
| Nebraska | MEDICAID | 10025429000 | |
| Nebraska | MEDICAID | 10025429300 | |
| Nebraska | MEDICAID | 10025428900 | |
| Nebraska | Other | 02170 | |
| Nebraska | MEDICAID | 10025429100 |
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