Radig, Christopher David
Radig, Christopher David is an individual health care provider with primary practice located at 330 N Main St , Pocahontas IA 50574-1626. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Radig, Christopher David can be contacted via phone (712) 335-3298.Contact Information
Primary practice address
330 N Main St
Pocahontas IA 50574-1626
Phone: (712) 335-3298
Fax: (712) 335-3262
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 02036 | Iowa |
Profile Details
| NPI number | 1154319010 |
|---|---|
| LBN Legal business name | Radig, Christopher David |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 13th, 2005 |
| Last updated | Aug 9th, 2010 - about 16 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 | 1154319010 | NPPES |
| Other | 410038847 | MEDICARE- RAILROAD | |
| MEDICAID | 0113340 | MEDICARE- RAILROAD | |
| Other | 0416820001 | MEDICARE- RAILROAD | |
| Other | 0416820002 | MEDICARE- RAILROAD | |
| MEDICAID | 1113340 | MEDICARE- RAILROAD | |
| MEDICAID | 2113340 | MEDICARE- RAILROAD | |
| Other | 0416820003 | MEDICARE- RAILROAD |
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