Knutson, Ryan D

Knutson, Ryan D is an individual health care provider with primary practice located at 571 Braund St , Onalaska WI 54650. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Knutson, Ryan D can be contacted via phone (608) 785-7000.

Contact Information

Primary practice address
571 Braund St Onalaska WI 54650
Phone: (608) 785-7000
Fax: (608) 785-7477
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 16064 Wisconsin
Behavioral Health & Social Service Providers / Professional 101YP2500X 2777 Wisconsin

Profile Details

NPI number 1497296461
LBN Legal business name Knutson, Ryan D
Credentials CSAC, LPC, ICS-IT
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 10th, 2017
Last updated Jul 23rd, 2018 - about 6 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 1497296461 NPPES
Wisconsin MEDICAID 100065209

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