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Contact Information

FAITH J RADOSEVICH, RN
1180 OLD JACKSON RD
FARMINGTON, MO63640-3428
 Phone: 573-760-1700
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Registered Nurse

163W00000X
 

Nurse's Aide

376K00000X
 

Pharmacy Technician

183700000X
 

Social Worker

104100000X
Indicates primary specialty

NPI Profile & details for FAITH J RADOSEVICH · (Female)

NPI # 1356737266
Status Active
Credentials RN (Registered Nurse)
Entity Individual
Enumeration date 04/08/2015
Last updated 04/19/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • MO License # 2014033320
  • MO License # 2019024085
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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