Provider Demographics
NPI:1225882798
Name:RATZ, CAROLINE LOUISE
Entity Type:Individual
Prefix:
First Name:CAROLINE
Middle Name:LOUISE
Last Name:RATZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2734 DEER RUN
Mailing Address - Street 2:
Mailing Address - City:ZIONSVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46077-8899
Mailing Address - Country:US
Mailing Address - Phone:317-695-8790
Mailing Address - Fax:
Practice Address - Street 1:2734 DEER RUN
Practice Address - Street 2:
Practice Address - City:ZIONSVILLE
Practice Address - State:IN
Practice Address - Zip Code:46077-8899
Practice Address - Country:US
Practice Address - Phone:317-695-8790
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-12
Last Update Date:2024-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program