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
Fax: (262) 241-3186
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811105786 NPPES
Wisconsin MEDICAID 41104900

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