Richard W. Rademacher, Jr

LBN: Richard W. Rademacher, Jr
Richard W. Rademacher, Jr is an health care organization with primary practice located at 717 Columbia Ave , Saint Joseph MI 49085-2457. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Richard W. Rademacher, Jr can be contacted via phone (269) 983-7261, or through Olexa, Mary L. via phone (269) 983-7261.

Contact Information

Primary practice address
717 Columbia Ave Saint Joseph MI 49085-2457
Fax: (269) 983-0997
Website:
Authorized official contact:
Name: Olexa, Mary L.

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 4901002496 Michigan

Profile Details

NPI number 1629244819
LBN Legal business name Richard W. Rademacher, Jr
DBA Doing business as
Authorized official Olexa, Mary L.
Entity Organization
Organization subpart 1 No
Enumeration date May 7th, 2008
Last updated Aug 21st, 2012 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629244819 NPPES
Michigan MEDICAID 943155278

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