Raetzsch, Michelle

Raetzsch, Michelle is an individual health care provider with primary practice located at 6300 Main St , Zachary LA 70791-4037. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is her primary health care specialty. Raetzsch, Michelle can be contacted via phone (225) 658-4174.

Contact Information

Primary practice address
6300 Main St Zachary LA 70791-4037
Phone: (225) 658-4174
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA0528 Texas
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA0528 Texas
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA.200247.RX Louisiana

Profile Details

NPI number 1457434425
LBN Legal business name Raetzsch, Michelle
Credentials P.A.C.
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 23rd, 2006
Last updated Jan 25th, 2016 - about 10 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 1457434425 NPPES
Louisiana MEDICAID 1883301

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