Rydeski, John Gerald

Rydeski, John Gerald is an individual health care provider with primary practice located at 1111 Delafield St Suite 120, Waukesha WI 53188-3417. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Rydeski, John Gerald can be contacted via phone (262) 521-9762.

Contact Information

Primary practice address
1111 Delafield St Suite 120 Waukesha WI 53188-3417
Fax:
Website:

Health care specialties

Profile Details

NPI number 1255313888
LBN Legal business name Rydeski, John Gerald
Credentials PT, MOMT
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 18th, 2005
Last updated May 31st, 2016 - 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 1255313888 NPPES
Wisconsin MEDICAID 40143000

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