National Provider Identifier Database

SALLY J SOBEL RADKE, RN, NNP – NPI #1396943627
Neonatal


Contact Information

SALLY J SOBEL RADKE, RN, NNP
725 AMERICAN AVE 3RD FL NICU
PROHEALTH CARE MEDICAL ASSOCIATES INC.
WAUKESHA, WI53188-5031
Phone: 262-928-7276
Fax:
Website:
Specialty Taxonomy Code
* Neonatal 363LN0000X
Neonatal Intensive Care 163WN0002X

* Indicates primary specialty

NPI Profile & details for SALLY J SOBEL RADKE

NPI Number 1396943627
Credentials RN, NNP
Entity Individual
Enumeration date 07/09/2007
Last updated 11/04/2013 - About 13 years ago
Sole proprietor1 No
Identifiers
  • MN License #: 180310-9
  • WI License #: 1022
  • WI License #: 96429-030
Hospital affiliation n/a

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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