Ryan, Matthew L

Ryan, Matthew L is an individual health care provider with primary practice located at 1726 Shawano Ave , Green Bay WI 54303-3216. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Ryan, Matthew L can be contacted via phone (920) 884-3135.

Contact Information

Primary practice address
1726 Shawano Ave Green Bay WI 54303-3216
Phone: (920) 884-3135
Fax: (920) 884-3144
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 4301091673 Michigan
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 50362 Wisconsin

Profile Details

NPI number 1548233612
LBN Legal business name Ryan, Matthew L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 9th, 2006
Last updated Dec 20th, 2021 - about 4 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 1548233612 NPPES
Wisconsin MEDICAID 353326600
Wisconsin MEDICAID 105312207

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