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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 Specialty Code Provider Type

Neonatal

363LN0000X 50 Nurse Practitioner
 

Neonatal Intensive Care

163WN0002X
Indicates primary specialty

NPI Profile & details for SALLY J SOBEL RADKE · (Female)

NPI Number 1396943627
Status Active
Credentials RN, NNP
Entity Individual
Enumeration date 07/09/2007
Last updated 11/04/2013 - About 13 years ago
Sole proprietor 1 No
Identifiers
  • MN License # 180310-9
  • WI License # 1022
  • WI License # 96429-030
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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