VICKIE RADISH R.T. NPI 1558809020

NPI Information

NPI: 1558809020
Provider Name: VICKIE RADISH, R.T.
Classification: Radiologic Technologist - 2471C3402X
Entity Type: Individual

Specialization: Radiography

Address:
2626 N 76TH ST
WAUWATOSA, WI
ZIP 53213
Phone: (414) 771-9171
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Vickie Radish, R.T. is a radiography radiologic technologist in Wauwatosa, WI. Vickie Radish, R.T. NPI is 1558809020. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2626 N 76TH ST
WAUWATOSA, WI
ZIP 53213-137
Phone: (414) 771-9171

The enumeration date for this NPI number is 2/6/2017 and was last updated on 2/6/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2471C3402X	Radiologic Technologist	Radiography	297648	WISCONSIN	Yes
2	2471V0106X	Radiologic Technologist	Vascular-Interventional Technology	297648	WISCONSIN	No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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