Radtke, Scott W.

Radtke, Scott W. is an individual health care provider with primary practice located at 444 N Westhill Blvd , Appleton WI 54914-5715. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Radtke, Scott W. can be contacted via phone (920) 750-7000.

Contact Information

Primary practice address
444 N Westhill Blvd Appleton WI 54914-5715
Phone: (920) 750-7000
Fax: (920) 364-2451
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 3445125 Wisconsin

Profile Details

NPI number 1033106794
LBN Legal business name Radtke, Scott W.
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 28th, 2005
Last updated Nov 28th, 2017 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1033106794 NPPES
Wisconsin MEDICAID 40980100

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