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
Fax: (402) 933-5027
Website:

Health care specialties

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 9 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 1003969619 NPPES
Nebraska MEDICAID 10025429200
Nebraska MEDICAID 10025429000
Nebraska MEDICAID 10025429300
Nebraska MEDICAID 10025428900
Nebraska Other 02170
Nebraska MEDICAID 10025429100

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