Raverty, Rita M
Raverty, Rita M is an individual health care provider with primary practice located at 1687 E Division St , River Falls WI 54022-1571. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Raverty, Rita M can be contacted via phone (715) 425-6701.Contact Information
Primary practice address
1687 E Division St
River Falls WI 54022-1571
Phone: (715) 425-6701
Fax: (715) 425-7075
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 43495020 | Wisconsin |
Profile Details
| NPI number | 1194719294 |
|---|---|
| LBN Legal business name | Raverty, Rita M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 2nd, 2005 |
| Last updated | Mar 11th, 2021 - about 3 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 | 1194719294 | NPPES |
| Wisconsin | MEDICAID | 34099500 |
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