Radovich, Callie Jo
Radovich, Callie Jo is an individual health care provider with primary practice located at 12800 N Lake Shore Dr , Mequon WI 53097-2418. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as her primary health care specialty. Radovich, Callie Jo can be contacted via phone (262) 243-2056.Contact Information
Primary practice address
12800 N Lake Shore Dr
Mequon WI 53097-2418
Phone: (262) 243-2056
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer | 2255A2300X | 1496-39 | Wisconsin |
Profile Details
| NPI number | 1831580562 |
|---|---|
| LBN Legal business name | Radovich, Callie Jo |
| Credentials | ATC, LAT, MSES |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 17th, 2015 |
| Last updated | Dec 28th, 2018 - about 8 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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