Ratzenberger, Tatjana Alexandra Jasmin

Ratzenberger, Tatjana Alexandra Jasmin is an individual health care provider with primary practice located at 735 John R Rd , Troy MI 48083-5856. She recently has 3 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Corneal and Contact Management, Eye and Vision Services Providers / Low Vision Rehabilitation. Eye and Vision Services Providers / Optometrist is her primary health care specialty. Ratzenberger, Tatjana Alexandra Jasmin can be contacted via phone (248) 544-3290.

Contact Information

Primary practice address
735 John R Rd Troy MI 48083-5856
Fax: (248) 528-4040
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 4901004456 Michigan
Eye and Vision Services Providers / Corneal and Contact Management 152WC0802X 4901004456 Michigan
Eye and Vision Services Providers / Low Vision Rehabilitation 152WL0500X 4901004456 Michigan

Profile Details

NPI number 1679729685
LBN Legal business name Ratzenberger, Tatjana Alexandra Jasmin
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 10th, 2008
Last updated Mar 11th, 2014 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679729685 NPPES
Michigan MEDICAID 1679729685

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