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Contact Information

MARCIA K RADLOFF, L.AC, MSOM
621 E MAIN ST
WATERTOWN, WI53094-3874
 Phone: 920-261-6999
 Fax: 920-261-6966
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Acupuncturist

171100000X
 

Nutritionist

133N00000X
Indicates primary specialty

NPI Profile & details for MARCIA K RADLOFF · (Female)

NPI # 1396904454
Status Active
Credentials L.AC, MSOM
Entity Individual
Enumeration date 06/04/2008
Last updated 05/29/2009 - About 17 years ago
Sole proprietor 1 Yes
Identifiers
  • WI License # 528-055
  • WI Other 528055 STATE LICENSE NUMBER
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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