Guttu, Ronald L
Guttu, Ronald L is an individual health care provider with primary practice located at 2359 Murphy Woods Rd , Beloit WI 53511-2343. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Guttu, Ronald L can be contacted via phone (608) 362-9391.Contact Information
Primary practice address
2359 Murphy Woods Rd
Beloit WI 53511-2343
Phone: (608) 362-9391
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 5783 | Wisconsin |
Profile Details
| NPI number | 1417952011 |
|---|---|
| LBN Legal business name | Guttu, Ronald L |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 20th, 2005 |
| Last updated | Feb 25th, 2009 - about 15 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 | 1417952011 | NPPES |
| Wisconsin | MEDICAID | 33791000 |
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