Baxter, Ryan Joseph
Baxter, Ryan Joseph is an individual health care provider with primary practice located at 2906 S 20Th St , Milwaukee WI 53215-3732. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Baxter, Ryan Joseph can be contacted via phone (414) 672-1353.Contact Information
Primary practice address
2906 S 20Th St
Milwaukee WI 53215-3732
Phone: (414) 672-1353
Fax: (414) 672-4265
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD467682 | Pennsylvania |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 4301107467 | Michigan |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 72160-20 | Wisconsin |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 4301107467 | Michigan |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 72160-20 | Wisconsin |
Profile Details
| NPI number | 1750655643 |
|---|---|
| LBN Legal business name | Baxter, Ryan Joseph |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 24th, 2012 |
| Last updated | Jun 27th, 2023 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1750655643 | NPPES |
| California | Other | 114008 | SID # 114008 |
| California | Other | 0230085 | SID # 114008 |
| California | MEDICAID | 1750655643 | SID # 114008 |
| California | MEDICAID | 100103241 | SID # 114008 |
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