Ratzenberger, Tatjana Alexandra Jasmin
Ratzenberger, Tatjana Alexandra Jasmin is an individual health care provider with primary practice located at 735 John R Rd , Troy MI 48083-5856. She recently has 3 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Corneal and Contact Management, Eye and Vision Services Providers / Low Vision Rehabilitation. Eye and Vision Services Providers / Optometrist is her primary health care specialty. Ratzenberger, Tatjana Alexandra Jasmin can be contacted via phone (248) 544-3290.Contact Information
Primary practice address
735 John R Rd
Troy MI 48083-5856
Phone: (248) 544-3290
Fax: (248) 528-4040
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 4901004456 | Michigan |
| Eye and Vision Services Providers / Corneal and Contact Management | 152WC0802X | 4901004456 | Michigan |
| Eye and Vision Services Providers / Low Vision Rehabilitation | 152WL0500X | 4901004456 | Michigan |
Profile Details
| NPI number | 1679729685 |
|---|---|
| LBN Legal business name | Ratzenberger, Tatjana Alexandra Jasmin |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 10th, 2008 |
| Last updated | Mar 11th, 2014 - about 12 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 | 1679729685 | NPPES |
| Michigan | MEDICAID | 1679729685 |
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