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
Phone: (262) 521-9762
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 2872 | Wisconsin |
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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1255313888 | NPPES |
Wisconsin | MEDICAID | 40143000 |
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