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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 16 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417952011 NPPES
Wisconsin MEDICAID 33791000

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