Runge, Martha L
Runge, Martha L is an individual health care provider with primary practice located at 5000 W National Ave , Milwaukee WI 53295-2203. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Runge, Martha L can be contacted via phone (414) 384-2000.Contact Information
Primary practice address
5000 W National Ave
Milwaukee WI 53295-2203
Phone: (414) 384-2000
Fax: (414) 382-5298
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | WI2069 | Wisconsin |
Profile Details
| NPI number | 1477593630 |
|---|---|
| LBN Legal business name | Runge, Martha L |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 7th, 2006 |
| Last updated | Feb 26th, 2014 - about 11 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 | 1477593630 | NPPES |
| Wisconsin | MEDICAID | 39650200 |
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