Ryan, Sean Michael

Ryan, Sean Michael is an individual health care provider with primary practice located at 620 S 76Th St Suite 120, Milwaukee WI 53214-1549. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Ryan, Sean Michael can be contacted via phone (414) 231-4846.

Contact Information

Primary practice address
620 S 76Th St Suite 120 Milwaukee WI 53214-1549
Phone: (414) 231-4846
Fax: (414) 453-2538
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 3967-125 Wisconsin

Profile Details

NPI number 1437325610
LBN Legal business name Ryan, Sean Michael
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date May 7th, 2008
Last updated May 7th, 2008 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1437325610 NPPES
Wisconsin MEDICAID 40928000

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