Ranta, Marylyn S
Ranta, Marylyn S is an individual health care provider with primary practice located at 4855 S Moorland Rd Suite 150, New Berlin WI 53151-7401. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Ranta, Marylyn S can be contacted via phone (414) 425-5660.Contact Information
Primary practice address
4855 S Moorland Rd Suite 150
New Berlin WI 53151-7401
Phone: (414) 425-5660
Fax: (414) 425-9803
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 26860 | Wisconsin |
Profile Details
NPI number | 1972598209 |
---|---|
LBN Legal business name | Ranta, Marylyn S |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 13th, 2005 |
Last updated | Sep 14th, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1972598209 | NPPES |
Wisconsin | MEDICAID | 30686200 |
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