Ryan, Stephan B.
Ryan, Stephan B. is an sole proprietor health care provider with primary practice located at 11649 N Port Washington Rd Audiology Hearing Clinic Of Mequon Llc, Mequon WI 53092-3460. He recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as his primary health care specialty. Ryan, Stephan B. can be contacted via phone (262) 241-3144.Contact Information
Primary practice address
11649 N Port Washington Rd Audiology Hearing Clinic Of Mequon Llc
Mequon WI 53092-3460
Phone: (262) 241-3144
Fax: (262) 241-3186
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Speech, Language and Hearing Service Providers / Audiologist | 231H00000X | 41-156 | Wisconsin |
Profile Details
NPI number | 1811105786 |
---|---|
LBN Legal business name | Ryan, Stephan B. |
Credentials | AU.D. CCC-A |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | May 21st, 2007 |
Last updated | Apr 29th, 2010 - about 15 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 | 1811105786 | NPPES |
Wisconsin | MEDICAID | 41104900 |
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