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Contact Information

JILL D RADKOWIEC, OD
202 E NORTH STREET
CALIFORNIA, MO65018
 Phone: 573-796-2222
 Fax: 573-796-4184
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for JILL D RADKOWIEC · (Female)

NPI Number 1114239092
Status Active
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 07/08/2010
Last updated 07/08/2010 - About 16 years ago
Sole proprietor 1 No
Identifiers
  • MO License # 2010020657
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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