Radke, Shannon

Radke, Shannon is an individual health care provider with primary practice located at 200 Jefferson Ave Se Ste 1000 , Grand Rapids MI 49503-4502. She recently has 2 registered licenses in different health care specialties including Nursing Service Related Providers / Personal Care Attendant, Other Service Providers / Community Health Worker. Other Service Providers / Community Health Worker is her primary health care specialty. Radke, Shannon can be contacted via phone (616) 685-3358.

Contact Information

Primary practice address
200 Jefferson Ave Se Ste 1000 Grand Rapids MI 49503-4502
Phone: (616) 685-3358
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Personal Care Attendant 3747P1801X
Other Service Providers / Community Health Worker 172V00000X

Profile Details

NPI number 1952945008
LBN Legal business name Radke, Shannon
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 1st, 2019
Last updated Oct 31st, 2024 - about 2 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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